Organization Active NPI

Mauricio Ramirez LCSW PA

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1952651796
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4659 Issued in FL
Legal business name
MAURICIO RAMIREZ LCSW PA
Practice address
2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421
Phone
(239) 289-3890
Fax
(239) 596-8901
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mr. Mauricio Ramirez, LCSWNPI 1346338175
Title
President
Phone
(239) 289-3890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 4659 FL Primary

Addresses

Primary practice location

2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421

Mailing address

2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421
Phone (239) 289-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120925000534 FL Part B Supplier - Clinic/Group Practice 4688823297 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2180 Immokalee Rd
Ste 216
Naples, FL 34110
Phone (239) 287-1493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1952651796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 216",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-289-3890",
            "fax_number": "239-596-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 216",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-289-3890",
            "fax_number": "239-596-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO RAMIREZ LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-289-3890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.