Provider Demographics
NPI:1306390190
Name:RAMIREZ, ROCHELLE RAMONA (LSCW)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:RAMONA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 KENTUCKY STREET
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305
Mailing Address - Country:US
Mailing Address - Phone:661-374-7510
Mailing Address - Fax:
Practice Address - Street 1:6700 EUCALYPTUS DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-6075
Practice Address - Country:US
Practice Address - Phone:661-428-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW793941041C0700X
CAASW32510320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical