Active NPI
Desiree R Ramirez, LMSW, LADAC
- Social Worker
- Raton, NM
National Provider Identifier
1356674592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-08567
- Practice address
- 101 Letton Dr
Raton, NM 87740-4366 - Phone
- (575) 445-8568
- Fax
- (575) 445-0540
- NPI assigned
- Sep 4, 2009
- Last updated
- Jan 23, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0152711 | NM | |
| Social Worker | 104100000X | M-08567 | NM | Primary |
Addresses
Primary practice location
101 Letton Dr
Raton, NM 87740-4366
Mailing address
101 Letton Dr
Raton, NM 87740-4366
Phone (575) 445-8568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71525564 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0152711 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| M-08567 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfectly Imperfect | Current | Accepting new patients |
Locations
146 Quincy St NE
Albuquerque, NM 87108
Phone (505) 550-1306
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1003582461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1356674592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LETTON DR",
"city": "RATON",
"state": "NM",
"postal_code": "877404366",
"telephone_number": "575-445-8568",
"fax_number": "575-445-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LETTON DR",
"city": "RATON",
"state": "NM",
"postal_code": "877404366",
"telephone_number": "575-445-8568",
"fax_number": "575-445-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "DESIREE",
"middle_name": "R",
"credential": "LMSW, LADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0152711",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-08567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71525564",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.