Provider Demographics
NPI:1871831230
Name:RAMSEY, GINA (LISW, LICSW)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LISW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6331 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:WI
Mailing Address - Zip Code:54880-5917
Mailing Address - Country:US
Mailing Address - Phone:715-498-2570
Mailing Address - Fax:
Practice Address - Street 1:6331 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:WI
Practice Address - Zip Code:54880-5917
Practice Address - Country:US
Practice Address - Phone:715-498-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI86261041C0700X
MN291891041C0700X
WI128655-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical