Basic Information
| Provider Information | |||||||||
| NPI: | 1346517398 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMOS- ACOSTA | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | LETICIA | ||||||||
| NamePrefix: | |||||||||
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| Credential: | LCSW/MSW/ASW | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | RAMOS | ||||||||
| OtherFirstName: | MONICA | ||||||||
| OtherMiddleName: | LETICIA | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3020 CHILDREN'S WAY | ||||||||
| Address2: | MAIL CODE 5100 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585761700 | ||||||||
| FaxNumber: | 8589664061 | ||||||||
| Practice Location | |||||||||
| Address1: | 3020 CHILDRENS WAY | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921234223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585761700 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2011 | ||||||||
| LastUpdateDate: | 08/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 28977 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | 80158 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.