Healthcare Provider Details

I. General information

NPI: 1497870166
Provider Name (Legal Business Name): ANGELICA RAMIREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 COLUMBUS ST STE
BAKERSFIELD CA
93305
US

IV. Provider business mailing address

5801 SUNDALE AVE
BAKERSFIELD CA
93309-7908
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-8300
  • Fax: 661-868-8317
Mailing address:
  • Phone: 661-832-2822
  • Fax: 661-396-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number24702
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number61777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: