Provider Demographics
NPI:1710355581
Name:ANABELL RAMOS-MERCED, LLC
Entity Type:Organization
Organization Name:ANABELL RAMOS-MERCED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANABELL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS-MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:869-756-8669
Mailing Address - Street 1:100 WELLS ST
Mailing Address - Street 2:SUITE 2-L
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2928
Mailing Address - Country:US
Mailing Address - Phone:860-756-8669
Mailing Address - Fax:860-216-1111
Practice Address - Street 1:100 WELLS ST
Practice Address - Street 2:SUITE 2-L
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-2928
Practice Address - Country:US
Practice Address - Phone:860-756-8669
Practice Address - Fax:860-216-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT89261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT8926OtherCONNECTICUT - LCSW LICENSE