Individual ProviderMarissa Nicole RamosSocial WorkerBehavioral Health & Social Service ProvidersPractice Address485 N 1st St, San Jose, CA 95112-4067(408) 554-2550(510) 317-1444PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Nicole Ramos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447803341Provider TypeIndividualFull NameRamos, Marissa NicoleGenderFemaleSole ProprietorNoEnumeration Date7/19/2019Last Updated7/23/2024Contact InformationPractice LocationPractice Address485 N 1st St, San Jose, CA 95112-4067Phone(408) 554-2550FaxUnlisted FaxMailing LocationMailing Address8945 Golf Links Rd, Oakland, CA 94605-4124Phone(510) 317-1444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense124466CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer