Provider Demographics
NPI:1588298707
Name:RAMOS, SARAH GAIL (LSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GAIL
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 FOX HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1877
Mailing Address - Country:US
Mailing Address - Phone:814-238-4851
Mailing Address - Fax:814-238-6395
Practice Address - Street 1:1400 FOX HILL RD
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1877
Practice Address - Country:US
Practice Address - Phone:814-238-4851
Practice Address - Fax:814-238-6395
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131714104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker