Provider Demographics
NPI:1376934018
Name:RAMIREZ, DENISE M (LCSW, LCDC-I)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LCSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2836 OAK GLEN CT
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-0401
Mailing Address - Country:US
Mailing Address - Phone:214-790-8210
Mailing Address - Fax:
Practice Address - Street 1:404 E BROAD ST STE 600
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-1743
Practice Address - Country:US
Practice Address - Phone:214-790-8210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX540761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical