Provider Demographics
NPI:1356824940
Name:GOLDSTEIN -RAMIREZ, HELAYNE GAY (LISCW)
Entity Type:Individual
Prefix:
First Name:HELAYNE
Middle Name:GAY
Last Name:GOLDSTEIN -RAMIREZ
Suffix:
Gender:F
Credentials:LISCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2354
Mailing Address - Country:US
Mailing Address - Phone:781-784-0054
Mailing Address - Fax:
Practice Address - Street 1:6 LOIS LN
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2354
Practice Address - Country:US
Practice Address - Phone:781-784-0054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1021971104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker