Provider Demographics
NPI:1093057739
Name:RAMIREZ-HERNANDEZ, RICARDO (LMSW)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:RAMIREZ-HERNANDEZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 W ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1878
Mailing Address - Country:US
Mailing Address - Phone:208-602-2731
Mailing Address - Fax:208-561-6611
Practice Address - Street 1:1007 W ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1878
Practice Address - Country:US
Practice Address - Phone:208-602-2731
Practice Address - Fax:208-561-6611
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-374481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDLCSW-37448OtherLCSW