Provider Demographics
NPI:1588737829
Name:RAMOS, ROBERTO (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 FDR DR APT B1105
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6534
Mailing Address - Country:US
Mailing Address - Phone:646-413-1812
Mailing Address - Fax:
Practice Address - Street 1:455 FDR DR APT B1105
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6534
Practice Address - Country:US
Practice Address - Phone:646-413-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0417971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical