Provider Demographics
NPI:1982829750
Name:RAMSEY, DONNA (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 HILL FARM RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-9178
Mailing Address - Country:US
Mailing Address - Phone:252-522-1105
Mailing Address - Fax:
Practice Address - Street 1:327 N QUEEN ST STE 121
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4986
Practice Address - Country:US
Practice Address - Phone:252-522-8010
Practice Address - Fax:252-523-1685
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0021091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106624Medicaid
NC2860050DMedicare PIN