Provider Demographics
NPI:1295910529
Name:RAMOS-GONZALEZ, TERESA I (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:I
Last Name:RAMOS-GONZALEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BOOTHBY CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1926
Mailing Address - Country:US
Mailing Address - Phone:609-531-3094
Mailing Address - Fax:856-722-1816
Practice Address - Street 1:221 LAUREL RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2330
Practice Address - Country:US
Practice Address - Phone:856-772-5809
Practice Address - Fax:856-772-5852
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-06
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055836001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical