Provider Demographics
NPI:1316653934
Name:RAMIREZ, LORENA MICHELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:MICHELLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LORENA
Other - Middle Name:MICHELLE
Other - Last Name:ANDRADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3504 TIERRA BAHIA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4356
Mailing Address - Country:US
Mailing Address - Phone:914-920-2664
Mailing Address - Fax:
Practice Address - Street 1:350 REVERE STREET
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:915-801-6404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX417351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical