MEDICARE: MS. VANNESSA RAMOS 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	7371-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851563514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VANNESSA RAMOS LCSW

Provider Business Mailing Address
First Line	:	3900 W BROWN DEER RD
Second Line	:	200
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-1220
Country	:	US
Telephone Number	:	414-540-2170
Fax Number	:	414-540-2171

Provider Business Practice Location Address
First Line	:	3900 W BROWN DEER RD
Second Line	:	200
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-1220
Country	:	US
Telephone Number	:	414-540-2170
Fax Number	:	414-540-2171

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

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	01/27/2015

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