Provider Demographics
NPI:1649809708
Name:RAMOS MCNEAL, MARYANN (LCSW)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:RAMOS MCNEAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARYANN
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4856 INNOVATION DR STE B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5540
Mailing Address - Country:US
Mailing Address - Phone:970-494-4200
Mailing Address - Fax:970-613-4475
Practice Address - Street 1:4575 BYRD DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-7198
Practice Address - Country:US
Practice Address - Phone:970-962-4900
Practice Address - Fax:709-962-4901
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099288211041C0700X
COLCSW.099288211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical