Healthcare Provider Details

I. General information

NPI: 1235046012
Provider Name (Legal Business Name): WENDY OFELIA RAMIREZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12007 SUNRISE VALLEY DR STE 120
RESTON VA
20191-3460
US

IV. Provider business mailing address

108 N FILLMORE AVE
STERLING VA
20164-2628
US

V. Phone/Fax

Practice location:
  • Phone: 703-552-2089
  • Fax:
Mailing address:
  • Phone: 571-267-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: