Provider Demographics
NPI:1649934522
Name:RAMIREZ, MARIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 MUKILTEO SPEEDWAY UNIT 1412
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-7062
Mailing Address - Country:US
Mailing Address - Phone:206-758-8422
Mailing Address - Fax:
Practice Address - Street 1:8050 MUKILTEO SPEEDWAY UNIT 1412
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-7062
Practice Address - Country:US
Practice Address - Phone:206-758-8422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 104100000X
WALW608136471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker