Provider Demographics
NPI:1629815840
Name:RAMOS, IVETTE M (MSW)
Entity type:Individual
Prefix:MS
First Name:IVETTE
Middle Name:M
Last Name:RAMOS
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 1:2755 RALPH RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-9209
Mailing Address - Country:US
Mailing Address - Phone:863-308-6963
Mailing Address - Fax:
Practice Address - Street 1:7511 LEROY DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-1626
Practice Address - Country:US
Practice Address - Phone:904-290-4601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker