Provider Demographics
NPI:1982255931
Name:RAMIREZ, LUIS DANIEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:DANIEL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HERKIMER RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-2348
Mailing Address - Country:US
Mailing Address - Phone:315-520-0859
Mailing Address - Fax:315-922-7890
Practice Address - Street 1:320 HERKIMER RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-2348
Practice Address - Country:US
Practice Address - Phone:315-520-0859
Practice Address - Fax:315-922-7890
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-21
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105463104100000X
NY0948151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker