Provider Demographics
NPI:1477835643
Name:RAMOS, JENNISE (MSW, LSCW)
Entity Type:Individual
Prefix:MRS
First Name:JENNISE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MSW, LSCW
Other - Prefix:
Other - First Name:JENNISE
Other - Middle Name:RAMOS
Other - Last Name:URBINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17304 PRESTON RD STE 833
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5618
Mailing Address - Country:US
Mailing Address - Phone:469-708-7805
Mailing Address - Fax:
Practice Address - Street 1:17304 PRESTON RD STE 833
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5618
Practice Address - Country:US
Practice Address - Phone:469-708-7805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical