Provider Demographics
NPI:1003237595
Name:RAMSEY, GRICELDA (LMSW)
Entity Type:Individual
Prefix:
First Name:GRICELDA
Middle Name:
Last Name:RAMSEY
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 1:25645 KILREIGH DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1552
Mailing Address - Country:US
Mailing Address - Phone:248-381-5157
Mailing Address - Fax:
Practice Address - Street 1:25645 KILREIGH DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1552
Practice Address - Country:US
Practice Address - Phone:248-381-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086440104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker