Individual provider Active NPI

Elda Castrejon Ramirez, MSW

  • Social Worker
  • Laveen, AZ
National Provider Identifier
1245948223
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PENDING Issued in AZ
Practice address
7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239
Phone
(602) 358-7073
Fax
(888) 927-0409
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PENDING AZ Primary

Addresses

Primary practice location

7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239

Mailing address

23380 N 61St Dr
Glendale, AZ 85310-5748
Phone (602) 358-7073

Other identifiers 1

IdentifierTypeStateIssuer
5-2022OtherAZARIZONA STATE UNIVERSITY

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

LicenseStateTypeSpecialty
PENDINGAZMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1245948223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23380 N 61ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105748",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 S 51ST AVE STE 203",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397239",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTREJON RAMIREZ",
        "first_name": "ELDA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE UNIVERSITY",
            "identifier": "5-2022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.