Individual provider Active NPI

Mauricio Ramirez, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1346338175
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4659 Issued in FL
Practice address
2507 Callaway Rd Ste 101
Tallahassee, FL 32303-5268
Phone
(850) 644-6543
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 4659 FL Primary

Addresses

Primary practice location

2507 Callaway Rd Ste 101
Tallahassee, FL 32303-5268

Mailing address

2507 Callaway Rd
Tallahassee, FL 32303-5267
Phone (850) 644-5973

Other identifiers 1

IdentifierTypeStateIssuer
Z8840OtherFLBC BS IDENTIFIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000804 FL Practitioner - Clinical Social Worker 1456241652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Practice Plan IncGroup PAC ID 3971608993, 27 clinicians

Practice addresses (Care Compare)

1910 Buford Blvd
Suite a
Tallahassee, FL 32308-4668
Phone (239) 289-3890

2507 Callaway Rd
Suite 101
Tallahassee, FL 32303-5268
Phone (850) 644-6543

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.31
Promoting interoperability
100
Improvement activities
40
Cost
68.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 4659FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Apalachee Center Inc CurrentSince Jan 23, 2023 Accepting new patients
Florida Medical Practice Plan Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

2507 Callaway Rd
Ste 101
Tallahassee, FL 32303
Phone (850) 644-6543

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 201-0956

1126 Lee Ave
#B
Tallahassee, FL 32303
Phone (850) 644-6543

Interoperability endpoints

  • Direct secure messaging: mauricio.ramirez.1@19268.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1346338175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 CALLAWAY RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035267",
            "telephone_number": "850-644-5973",
            "fax_number": "850-848-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CALLAWAY RD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035268",
            "telephone_number": "850-644-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MAURICIO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS IDENTIFIER",
            "identifier": "Z8840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.