Provider Demographics
NPI:1023231545
Name:RAMIREZ JIMENEZ, ADELINA (MSW)
Entity type:Individual
Prefix:
First Name:ADELINA
Middle Name:
Last Name:RAMIREZ JIMENEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 S. K ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274
Mailing Address - Country:US
Mailing Address - Phone:559-627-3145
Mailing Address - Fax:
Practice Address - Street 1:327 S K ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-5416
Practice Address - Country:US
Practice Address - Phone:559-688-2043
Practice Address - Fax:559-688-1304
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2024-04-17
Deactivation Date:2013-11-05
Deactivation Code:
Reactivation Date:2020-05-28
Provider Licenses
StateLicense IDTaxonomies
CA1212951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical