MEDICARE: ROXANNA RAMIREZ 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	60612	TX
2	104100000X	Social Worker	60612	TX

General Provider Information

NPI Number	:	1245926963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNA RAMIREZ LCSW

Provider Business Mailing Address
First Line	:	2017 WILLIAM CAPLES ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-3205
Country	:	US
Telephone Number	:	915-873-2808
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 WILLIAM CAPLES ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-3205
Country	:	US
Telephone Number	:	915-873-2808
Fax Number	:

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

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	09/07/2023

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Directions to “ ROXANNA RAMIREZ LCSW” Practice Location

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