Provider Demographics
NPI:1023808052
Name:RAMSEY, MADDIE (LGSW)
Entity type:Individual
Prefix:
First Name:MADDIE
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 PAGE DR S STE 101
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3551
Mailing Address - Country:US
Mailing Address - Phone:701-300-8879
Mailing Address - Fax:
Practice Address - Street 1:1265 US-10 UNIT 8
Practice Address - Street 2:
Practice Address - City:DETROI LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501
Practice Address - Country:US
Practice Address - Phone:701-300-8879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30643104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker