Healthcare Provider Details

I. General information

NPI: 1497032023
Provider Name (Legal Business Name): LUZ ELENA RAMIREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 E KASHIAN LN SUITE 301
FRESNO CA
93701-2230
US

IV. Provider business mailing address

2625 E DIVISADERO ST
FRESNO CA
93721-1431
US

V. Phone/Fax

Practice location:
  • Phone: 559-264-9100
  • Fax: 559-264-9199
Mailing address:
  • Phone: 559-443-2682
  • Fax: 559-443-2681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: