Healthcare Provider Details

I. General information

NPI: 1588578611
Provider Name (Legal Business Name): MAGDALENA RAMIREZ LMHC, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

139 W 168TH ST
BRONX NY
10452-3403
US

IV. Provider business mailing address

139 W 168TH ST
BRONX NY
10452-3403
US

V. Phone/Fax

Practice location:
  • Phone: 718-538-6112
  • Fax:
Mailing address:
  • Phone: 718-538-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number018613
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: