Healthcare Provider Details

I. General information

NPI: 1164335204
Provider Name (Legal Business Name): CLARA R RAMIREZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 LIBERTY ST
SPRINGFIELD MA
01104-1146
US

IV. Provider business mailing address

928 LIBERTY ST
SPRINGFIELD MA
01104-1146
US

V. Phone/Fax

Practice location:
  • Phone: 413-364-6309
  • Fax:
Mailing address:
  • Phone: 413-364-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1134107113
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: