Healthcare Provider Details

I. General information

NPI: 1154236339
Provider Name (Legal Business Name): CASSANDRA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 E. FRYE ROAD 1205 E. FRYE ROAD
CHANDLER AZ
85225
US

IV. Provider business mailing address

1205 E. FRYE ROAD
CHANDLER AZ
85225
US

V. Phone/Fax

Practice location:
  • Phone: 480-812-6300
  • Fax:
Mailing address:
  • Phone: 480-812-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLAC-24168
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: