Healthcare Provider Details

I. General information

NPI: 1336630557
Provider Name (Legal Business Name): DAISY JOANNA RAMIREZ ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 TOURNEY RD STE 175
SANTA CLARITA CA
91355-4990
US

IV. Provider business mailing address

27200 TOURNEY RD STE 175
VALENCIA CA
91355-4990
US

V. Phone/Fax

Practice location:
  • Phone: 661-705-4670
  • Fax:
Mailing address:
  • Phone: 661-705-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW81704
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW81704
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW121205
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: