Provider Demographics
NPI:1386259091
Name:NIEVES-RAMIREZ, MIRIAM Y (LCSW)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:Y
Last Name:NIEVES-RAMIREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2653
Mailing Address - Country:US
Mailing Address - Phone:813-264-9955
Mailing Address - Fax:
Practice Address - Street 1:2806 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2653
Practice Address - Country:US
Practice Address - Phone:813-264-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical