MEDICARE: LUZ MARIA GONZALEZ RAMIREZ MSW, ACSW

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	120991	CA

General Provider Information

NPI Number	:	1861230864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ MARIA GONZALEZ RAMIREZ MSW, ACSW

Provider Business Mailing Address
First Line	:	PO BOX 615
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90714-0615
Country	:	US
Telephone Number	:	562-413-5471
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E 7TH ST BLDG B
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-4559
Country	:	US
Telephone Number	:	562-437-4114
Fax Number	:

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

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	07/16/2024

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