Provider Demographics
NPI:1356804702
Name:RAMSEY, RONALD (LMSW, DDCC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:LMSW, DDCC
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, DDCC
Mailing Address - Street 1:30581 HIDDEN PINES LN
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-7301
Mailing Address - Country:US
Mailing Address - Phone:313-878-6334
Mailing Address - Fax:586-498-8022
Practice Address - Street 1:30581 HIDDEN PINES LN # 30581
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-7301
Practice Address - Country:US
Practice Address - Phone:248-646-1700
Practice Address - Fax:800-661-1697
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801057173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherMENTAL HEALTH SERVICES
MI6801057173OtherMASTER'S SOCIAL WORK CLINICAL AND MACRO LICENSE