Most Relevant Information
Provider Data
| NPI Number: | 1003458928 |
| Provider Name: | TIFFANY RAMOS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 4955 |
Most Important Dates
| Enumeration Date: | 10/11/2019 |
| Last Updated: | 10/11/2019 |
Provider Practice Location
232 CEDAR STREET
SCRC
NEW HAVEN
CT
065191610
Practice Location Phone/Fax
| Phone: | 2035033305 |
| Fax: | 2034013352 |
Provider Mailing Location
400 COLUMBUS AVENUE
CREDENTIALING SPECIALIST
NEW HAVEN
CT
06519
Provider Mailing Phone/Fax
| Phone: | 2035033000 |
| Fax: | 2035033183 |