Healthcare Provider Details

I. General information

NPI: 1437279171
Provider Name (Legal Business Name): KAREN RUBENFIRE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN RUBENFIRE

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31215 WESTWOOD RD
FARMINGTON HILLS MI
48331-1473
US

IV. Provider business mailing address

31215 WESTWOOD RD
FARMINGTON HILLS MI
48331-1473
US

V. Phone/Fax

Practice location:
  • Phone: 248-892-4585
  • Fax: 248-661-1239
Mailing address:
  • Phone: 248-892-4585
  • Fax: 248-661-1239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801061862
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number6801061862
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: