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NPI Code Detail

MEDICARE: JESSICA FUENTES-RAMIREZ LCSW

MEDICARE: JESSICA FUENTES-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
11041C0700XClinical Social Worker127934CA

General Provider Information

NPI Number : 1598370793
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FUENTES-RAMIREZ LCSW
Provider Business Mailing Address
First Line : 6637 BADGER CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95842-2301
Country : US
Telephone Number : 916-385-2381
Fax Number :
Provider Business Practice Location Address
First Line : 401 VERNON ST STE B
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number : 916-385-2381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 02/10/2026

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