Daibelis Maria Nunez Ramirez, LCSW

Individual provider Active NPI Clinical Social Worker · Corona, NY

NPI 1912263161 · NPPES record last updated Nov 2, 2024

Key facts

NPI
1912263161
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
098583-01 (NY)
Practice address
10321 Northern Blvd
Corona, NY 11368-1136
Phone
(929) 522-0631
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
098583-01NYMDSocial Worker
112296NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Mental Help Group, Inc Past
since Nov 19, 2023
Accepting new patients
1 Integral Mental Health Counseling Practice PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098583-01 NY Yes
Clinical Social Worker 1041C0700X 112296 NY

Addresses

Primary practice location

10321 Northern Blvd
Corona, NY 11368-1136

Mailing address

10321 Northern Blvd
Corona, NY 11368-1136
Phone (929) 522-0631

Other providers in Corona, NY

All providers in Corona, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.