Provider Demographics
NPI:1922304328
Name:RAMIREZ, SOCORRO (LCSW)
Entity Type:Individual
Prefix:
First Name:SOCORRO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-9661
Mailing Address - Country:US
Mailing Address - Phone:561-315-2456
Mailing Address - Fax:
Practice Address - Street 1:649 US HIGHWAY 1
Practice Address - Street 2:STE 17
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4600
Practice Address - Country:US
Practice Address - Phone:561-315-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL81191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical