Individual provider Active NPI

Pauline N Dranger, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1003942806
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003427A Issued in IN
Practice address
607 Lincolnway
Valparaiso, IN 46383-5727
Phone
(219) 548-8727
Fax
(219) 465-7211
NPI assigned
Feb 26, 2007
Last updated
Oct 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34003427A IN Primary

Addresses

Primary practice location

607 Lincolnway
Valparaiso, IN 46383-5727

Mailing address

607 Lincolnway
Valparaiso, IN 46383-5727
Phone (219) 548-8727

Other identifiers 1

IdentifierTypeStateIssuer
200275200AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000721 IN Practitioner - Clinical Social Worker 9537139555

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

607 Lincolnway
Valparaiso, IN 46383-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003427AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Counseling Services, P.C. CurrentSince Oct 17, 2011 Accepting new patients
Choices Counseling Services Past Accepting new patients
Pauline Dranger Past Accepting new patients

Locations

607 Lincolnway
Valparaiso, IN 46383
Phone (219) 548-8727

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1003942806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835727",
            "telephone_number": "219-548-8727",
            "fax_number": "219-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835727",
            "telephone_number": "219-548-8727",
            "fax_number": "219-465-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANGER",
        "first_name": "PAULINE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003427A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.