Provider Demographics
NPI:1861602682
Name:GLADSTONE-RAMOS, CAROLE (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:GLADSTONE-RAMOS
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 1:455 FDR DR
Mailing Address - Street 2:APT B1105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5953
Mailing Address - Country:US
Mailing Address - Phone:646-413-1820
Mailing Address - Fax:
Practice Address - Street 1:455 FDR DR
Practice Address - Street 2:APT B1105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5953
Practice Address - Country:US
Practice Address - Phone:646-413-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR024514-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical