Active NPI
Kelly Ramirez
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1154848638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112119
- Practice address
- 1157 Lemoyne St
Los Angeles, CA 90026 - Phone
- (213) 483-6335
- Fax
- (213) 483-9876
- NPI assigned
- Aug 25, 2017
- Reactivated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112119 | CA | Primary |
Addresses
Primary practice location
1157 Lemoyne St
Los Angeles, CA 90026
Mailing address
1157 Lemoyne St
Los Angeles, CA 90026-3206
Phone (213) 483-6335
Other practice location 1
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112119 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro del Pueblo, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1174727515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1154848638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 LEMOYNE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263206",
"telephone_number": "213-483-6335",
"fax_number": "213-483-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 LEMOYNE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-483-6335",
"fax_number": "213-483-9876"
}
],
"practiceLocations": [
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171466",
"country_code": "US",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"deactivation_date": "2019-08-20",
"reactivation_date": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.