MEDICARE: ROSA 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	LCSW93656	CA

General Provider Information

NPI Number	:	1558771287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA RAMIREZ LCSW

Provider Business Mailing Address
First Line	:	PO BOX 9126
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90608-9126
Country	:	US
Telephone Number	:	310-678-0534
Fax Number	:

Provider Business Practice Location Address
First Line	:	1499 HUNTINGTON DR STE 100
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-5443
Country	:	US
Telephone Number	:	626-403-4370
Fax Number	:

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

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	08/02/2023

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