Provider Demographics
NPI:1063543726
Name:RAMSAY, MARCI JO (LSCSW)
Entity type:Individual
Prefix:
First Name:MARCI
Middle Name:JO
Last Name:RAMSAY
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1704
Mailing Address - Country:US
Mailing Address - Phone:785-842-9679
Mailing Address - Fax:785-842-1412
Practice Address - Street 1:1525 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1704
Practice Address - Country:US
Practice Address - Phone:785-842-9679
Practice Address - Fax:785-842-1412
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS41791041C0700X
KS103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200860740BMedicaid