Provider Demographics
NPI:1114008406
Name:CLIFTON, RAMONA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 LAFAYETTE AVE
Mailing Address - Street 2:5D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1074
Mailing Address - Country:US
Mailing Address - Phone:718-797-3039
Mailing Address - Fax:
Practice Address - Street 1:26 COURT ST STE 403
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-1134
Practice Address - Country:US
Practice Address - Phone:347-443-6858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR064460-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0072UGMedicare ID - Type Unspecified