Healthcare Provider Details

I. General information

NPI: 1568772390
Provider Name (Legal Business Name): ORLANDO RAMOS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTRAL AVE
EAST ORANGE NJ
07018-2897
US

IV. Provider business mailing address

300 CENTRAL AVE
EAST ORANGE NJ
07018-2897
US

V. Phone/Fax

Practice location:
  • Phone: 302-983-1143
  • Fax:
Mailing address:
  • Phone: 302-983-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05762200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: