Provider Demographics
NPI:1245864578
Name:RAMIREZ, TEANNA SHAMBRAE (MSW)
Entity type:Individual
Prefix:
First Name:TEANNA
Middle Name:SHAMBRAE
Last Name:RAMIREZ
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 1:14233 S PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:POSEN
Mailing Address - State:IL
Mailing Address - Zip Code:60469-1009
Mailing Address - Country:US
Mailing Address - Phone:312-982-6351
Mailing Address - Fax:
Practice Address - Street 1:14233 S PALMER AVE
Practice Address - Street 2:
Practice Address - City:POSEN
Practice Address - State:IL
Practice Address - Zip Code:60469-1009
Practice Address - Country:US
Practice Address - Phone:312-982-6351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker