Provider Demographics
NPI:1235434226
Name:STEVENS, RAMONA R (MSW)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:R
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 W COMPTON BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-6636
Mailing Address - Country:US
Mailing Address - Phone:310-529-8914
Mailing Address - Fax:
Practice Address - Street 1:322 W COMPTON BLVD STE 203
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-6636
Practice Address - Country:US
Practice Address - Phone:310-529-8914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical