Provider Demographics
NPI:1972160273
Name:RAMOS, SHANNON (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 N BEDFORD RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1148
Mailing Address - Country:US
Mailing Address - Phone:914-282-1730
Mailing Address - Fax:
Practice Address - Street 1:280 N BEDFORD RD STE 301
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1148
Practice Address - Country:US
Practice Address - Phone:914-282-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087576104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker