Provider Demographics
NPI:1760784722
Name:RAMIREZ, YAKAIRA (LCSW)
Entity Type:Individual
Prefix:
First Name:YAKAIRA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 E 109TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3470
Mailing Address - Country:US
Mailing Address - Phone:191-724-2645
Mailing Address - Fax:
Practice Address - Street 1:4395 BROADWAY APT 5H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-4028
Practice Address - Country:US
Practice Address - Phone:917-628-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27-3926903152W00000X
NY090725-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No152W00000XEye and Vision Services ProvidersOptometrist