Individual provider Active NPI

Jovanna Ramos-Quiroz, LLMSW

  • Social Worker
  • Wyandotte, MI
National Provider Identifier
1801525761
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851108994 Issued in MI
Practice address
375 Eureka Rd Ste B
Wyandotte, MI 48192-5839
Phone
(734) 258-8386
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851108994 MI Primary

Addresses

Primary practice location

375 Eureka Rd Ste B
Wyandotte, MI 48192-5839

Mailing address

22201 Samuel St
Taylor, MI 48180-2798
Phone (734) 301-7203

Other practice location 1

34841 Veterans Plz
Wayne, MI 48184-1733
Phone (734) 404-7512

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
6851108994MIMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: purepsychiatryofmichigan.jovannaramosquiroz@153418.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1801525761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 SAMUEL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802798",
            "telephone_number": "734-301-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 EUREKA RD STE B",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925839",
            "telephone_number": "734-258-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34841 Veterans Plz",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841733",
            "country_code": "US",
            "telephone_number": "734-404-7512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS-QUIROZ",
        "first_name": "JOVANNA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.