Healthcare Provider Details

I. General information

NPI: 1225255284
Provider Name (Legal Business Name): MRS. MARIANN ARCARI RUBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIANN ARCARI LCSW

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7254 E SOUTHERN AVE SUITE 123
MESA AZ
85209-2786
US

IV. Provider business mailing address

11309 E PETRA AVE
MESA AZ
85212-1981
US

V. Phone/Fax

Practice location:
  • Phone: 480-380-6248
  • Fax: 480-986-2618
Mailing address:
  • Phone: 480-380-6248
  • Fax: 480-986-2618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberAZ11566
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier107699734
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerUNITED HEALTHCARE
# 2
Identifier12042
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerVALUE OPTIONS
# 3
Identifier204432
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerMHN
# 4
Identifier2016596
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerCIGNA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: