Provider Demographics
NPI:1447385489
Name:RAMOS, RAYMOND THOMAS (MSW,LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:THOMAS
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SHADY AVE
Mailing Address - Street 2:SUITE A106
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4409
Mailing Address - Country:US
Mailing Address - Phone:724-887-3181
Mailing Address - Fax:412-362-8328
Practice Address - Street 1:401 SHADY AVE
Practice Address - Street 2:SUITE A106
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4409
Practice Address - Country:US
Practice Address - Phone:724-887-3181
Practice Address - Fax:412-362-8328
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0124171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000732035Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER