Provider Demographics
NPI:1770502866
Name:RAMBO, RONALD CAREY (LCSW)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:CAREY
Last Name:RAMBO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36736 BLUEBIRD AVENUE
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270
Mailing Address - Country:US
Mailing Address - Phone:760-969-9379
Mailing Address - Fax:760-656-4430
Practice Address - Street 1:69930 HIGHWAY 111
Practice Address - Street 2:SUITE 204G
Practice Address - City:RANCHO MILRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-969-9379
Practice Address - Fax:760-656-4430
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS203241041C0700X
TX412931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical