Individual provider Active NPI

Yunieska Trujillo-Ramirez, MSW, LICSW

  • Clinical Social Worker
  • Londonderry, NH
National Provider Identifier
1750531109
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116876 Issued in MA
Practice address
3 Sanborn Rd Ste 4a
Londonderry, NH 03053-2362
Phone
(603) 404-6296
NPI assigned
Sep 23, 2008
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 116876 MA Primary

Addresses

Primary practice location

3 Sanborn Rd Ste 4a
Londonderry, NH 03053-2362

Mailing address

PO Box 142
Goffstown, NH 03045-0142
Phone (603) 404-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20190115000648 NH Practitioner - Clinical Social Worker 8426394339 Practice locations: Londonderry, NH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116876MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louise de Marillac Counseling Ministries, PLLC Clinical CurrentSince Jan 12, 2025 Accepting new patients

Locations

3 Sanborn Rd
Ste 4A
Londonderry, NH 03053
Phone (603) 404-6296

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.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1750531109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030450142",
            "telephone_number": "603-404-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SANBORN RD STE 4A",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532362",
            "telephone_number": "603-404-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO-RAMIREZ",
        "first_name": "YUNIESKA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.