Provider Demographics
NPI:1922980036
Name:RUBENSTEIN, ERIC (LCSW)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 CHERRY HILL RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2519
Mailing Address - Country:US
Mailing Address - Phone:475-238-2342
Mailing Address - Fax:
Practice Address - Street 1:94 CHERRY HILL RD UNIT A
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2519
Practice Address - Country:US
Practice Address - Phone:475-238-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT155231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical