Provider Demographics
NPI:1821642471
Name:RAMSEY, SHENETHA (PHD, MSW, RSW, CLC)
Entity Type:Individual
Prefix:DR
First Name:SHENETHA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:PHD, MSW, RSW, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4548 MONARCH AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-5411
Mailing Address - Country:US
Mailing Address - Phone:225-939-0916
Mailing Address - Fax:225-357-2423
Practice Address - Street 1:4548 MONARCH AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-5411
Practice Address - Country:US
Practice Address - Phone:225-939-0916
Practice Address - Fax:225-357-2423
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8933171M00000X, 104100000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor