Healthcare Provider Details

I. General information

NPI: 1679956783
Provider Name (Legal Business Name): ERIKA RAMIREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10929 SOUTH ST STE 208
CERRITOS CA
90703-5340
US

IV. Provider business mailing address

10929 SOUTH ST STE 208
CERRITOS CA
90703-5340
US

V. Phone/Fax

Practice location:
  • Phone: 562-924-5526
  • Fax: 562-924-1040
Mailing address:
  • Phone: 562-924-5526
  • Fax: 562-924-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW67810
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW67810
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW95141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: