MEDICARE: MRS. SHELLY RAMSEY-POWERS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	25502	TX

General Provider Information

NPI Number	:	1033269725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLY RAMSEY-POWERS LCSW

Provider Business Mailing Address
First Line	:	806 SHADY CREEK DR
Second Line	:
City	:	KENNEDALE
State	:	TX
Zip	:	76060-5441
Country	:	US
Telephone Number	:	817-891-3408
Fax Number	:	817-446-4418

Provider Business Practice Location Address
First Line	:	6043 W INTERSTATE 20
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1042
Country	:	US
Telephone Number	:	817-891-3408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	01/29/2024

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