Provider Demographics
NPI:1952473597
Name:RAMIREZ, RICHARD (LCSW, BCD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24402 ROLLING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5005
Mailing Address - Country:US
Mailing Address - Phone:281-627-8159
Mailing Address - Fax:281-357-5499
Practice Address - Street 1:425 HOLDERRIETH BLVD STE 206
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4552
Practice Address - Country:US
Practice Address - Phone:281-627-8159
Practice Address - Fax:281-357-5499
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical