NPI 1417506478 · live from the CMS NPI Registry
Marisol Ramirez Angeles, LMSW
Social Worker in Idaho Falls, ID. National Provider Identifier 1417506478, active.
NPI record
| NPI | 1417506478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2275 W Broadway St, Idaho Falls, ID 83402 |
| Practice phone | 208-524-7400 |
| Mailing address | 2088 Trolley Cir, Idaho Falls, ID 83402 |
| Enumerated | September 11, 2019 |
| Last updated | September 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | LMSW-39036 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.