Provider Demographics
NPI:1437889243
Name:RAMOS MARTINEZ, YARELYN (MSW INTERN)
Entity Type:Individual
Prefix:
First Name:YARELYN
Middle Name:
Last Name:RAMOS MARTINEZ
Suffix:
Gender:F
Credentials:MSW INTERN
Other - Prefix:
Other - First Name:YARELYN
Other - Middle Name:
Other - Last Name:MARTINEZ HADDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2033 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-3535
Mailing Address - Country:US
Mailing Address - Phone:978-249-9490
Mailing Address - Fax:413-772-3749
Practice Address - Street 1:2033 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-3535
Practice Address - Country:US
Practice Address - Phone:978-249-9490
Practice Address - Fax:413-772-3749
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical