Individual provider Active NPI

Nereida Ramos, LCSW114555

  • Clinical Social Worker
  • San Fernando, CA
National Provider Identifier
1689192668
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114555 Issued in CA
Practice address
11565 Laurel Canyon Blvd
San Fernando, CA 91340-4168
Phone
(818) 838-3491
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X ASW78540 CA
Clinical Social Worker 1041C0700X 114555 CA Primary

Addresses

Primary practice location

11565 Laurel Canyon Blvd
San Fernando, CA 91340-4168

Mailing address

11565 Laurel Canyon Blvd Ste 116
San Fernando, CA 91340-4650
Phone (818) 383-2231

Other practice location 1

16360 Roscoe Blvd Fl 2
Van Nuys, CA 91406-1219
Phone (818) 361-5030

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
114555CAMDClinical Social Worker
ASW78540CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1689192668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD STE 116",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404650",
            "telephone_number": "818-383-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404168",
            "telephone_number": "818-838-3491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16360 Roscoe Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914061219",
            "country_code": "US",
            "telephone_number": "818-361-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "NEREIDA",
        "credential": "LCSW114555",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW78540",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.