MEDICARE: ERIC RUBENSTEIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	15523	CT

General Provider Information

NPI Number	:	1922980036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC RUBENSTEIN LCSW

Provider Business Mailing Address
First Line	:	94 CHERRY HILL RD UNIT A
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-2519
Country	:	US
Telephone Number	:	475-238-2342
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 CHERRY HILL RD UNIT A
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-2519
Country	:	US
Telephone Number	:	475-238-2342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/24/2025

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