Provider Demographics
NPI:1922183953
Name:PRICE RAMOS, ELIZABETH SUE (LCSW R)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SUE
Last Name:PRICE RAMOS
Suffix:
Gender:F
Credentials:LCSW R
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:SUE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CSW
Mailing Address - Street 1:230 WEST BROADWAY
Mailing Address - Street 2:#413
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3930
Mailing Address - Country:US
Mailing Address - Phone:516-432-1154
Mailing Address - Fax:516-432-2239
Practice Address - Street 1:26 WEST 9TH STREET
Practice Address - Street 2:#9D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8971
Practice Address - Country:US
Practice Address - Phone:212-254-2032
Practice Address - Fax:516-432-2239
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05040611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNC2491Medicare ID - Type Unspecified