Provider Demographics
NPI:1023045036
Name:RAMEY, LILLIAN S (LCSW)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:S
Last Name:RAMEY
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 1:100 JENKINS RANCH RD
Mailing Address - Street 2:UNIT E2
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-9473
Mailing Address - Country:US
Mailing Address - Phone:970-259-2162
Mailing Address - Fax:970-247-0455
Practice Address - Street 1:215 W ARBECAM AVE
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-2705
Practice Address - Country:US
Practice Address - Phone:970-565-7946
Practice Address - Fax:970-565-9005
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9926471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COQ67967Medicare UPIN
CO805214Medicare ID - Type Unspecified