Healthcare Provider Details

I. General information

NPI: 1033025200
Provider Name (Legal Business Name): VIRGINIA RAMOS RIOS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 RIVER CAMP DR
NEWINGTON CT
06111-1837
US

IV. Provider business mailing address

44 RIVER CAMP DR
NEWINGTON CT
06111-1837
US

V. Phone/Fax

Practice location:
  • Phone: 917-833-7364
  • Fax:
Mailing address:
  • Phone: 917-833-7364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11252
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: