Provider Demographics
NPI:1225436132
Name:RAMIREZ-TORRES, MARILYN MIREYA (MSW, ACSW)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:MIREYA
Last Name:RAMIREZ-TORRES
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42455 10TH ST W STE 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7060
Mailing Address - Country:US
Mailing Address - Phone:661-341-3900
Mailing Address - Fax:
Practice Address - Street 1:42455 10TH ST W STE 103
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7060
Practice Address - Country:US
Practice Address - Phone:661-341-3900
Practice Address - Fax:661-341-3904
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW69659104100000X, 101YM0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAASW69659OtherBOARD OF BEHAVIORAL SCIENCES