Healthcare Provider Details

I. General information

NPI: 1063324531
Provider Name (Legal Business Name): CRISTINA RAMIREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2819 N 49TH PL
PHOENIX AZ
85008-1645
US

IV. Provider business mailing address

2819 N 49TH PL
PHOENIX AZ
85008-1645
US

V. Phone/Fax

Practice location:
  • Phone: 480-203-5037
  • Fax:
Mailing address:
  • Phone: 480-203-5037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23596
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: