Provider Demographics
NPI:1790807709
Name:RAMSEY, ROBERT R (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3754 N FRACE AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-1112
Mailing Address - Country:US
Mailing Address - Phone:253-274-5666
Mailing Address - Fax:
Practice Address - Street 1:1210 MADISON ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-2838
Practice Address - Country:US
Practice Address - Phone:253-219-8034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000072711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical