Individual provider Active NPI

Jean Ramlow, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1689091811
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21566 Issued in MN
Practice address
13100 Wayzata Blvd
Suite 400
Minnetonka, MN 55305-1842
Phone
(952) 542-4839
Fax
(952) 593-1778
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 21566 MN Primary

Addresses

Primary practice location

13100 Wayzata Blvd
Suite 400
Minnetonka, MN 55305-1842

Mailing address

13100 Wayzata Blvd
Suite 400
Minnetonka, MN 55305-1842
Phone (952) 542-4839

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
21566MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1689091811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 WAYZATA BLVD",
            "address_2": "SUITE 400",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051842",
            "telephone_number": "952-542-4839",
            "fax_number": "952-593-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WAYZATA BLVD",
            "address_2": "SUITE 400",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051842",
            "telephone_number": "952-542-4839",
            "fax_number": "952-593-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMLOW",
        "first_name": "JEAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.