Provider Demographics
NPI:1265796619
Name:RAMIREZ, PEPE A (MSW)
Entity type:Individual
Prefix:
First Name:PEPE
Middle Name:A
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 MT HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-6559
Mailing Address - Country:US
Mailing Address - Phone:951-285-5987
Mailing Address - Fax:303-637-7252
Practice Address - Street 1:4433 MT HARVARD ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-6559
Practice Address - Country:US
Practice Address - Phone:951-285-5987
Practice Address - Fax:303-637-7252
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-30
Last Update Date:2012-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104100000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker