Provider Demographics
NPI:1932577848
Name:RAMIREZ, LAURA JANET (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JANET
Last Name: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 1:12110 SLAUSON AVE STE 16
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-8656
Mailing Address - Country:US
Mailing Address - Phone:562-967-2840
Mailing Address - Fax:562-967-2853
Practice Address - Street 1:12110 SLAUSON AVE STE 16
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-8656
Practice Address - Country:US
Practice Address - Phone:323-524-9347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1003021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical