Individual provider Active NPI

James S Rankin, LCSW

  • Clinical Social Worker
  • San Tan Valley, AZ
National Provider Identifier
1063741288
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19510 Issued in AZ
Practice address
1659 W Flintlock Dr
San Tan Valley, AZ 85144-0027
Phone
(484) 769-5624
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW017502 PA
Clinical Social Worker 1041C0700X CW017502 PA
Clinical Social Worker 1041C0700X 19510 AZ Primary

Addresses

Primary practice location

1659 W Flintlock Dr
San Tan Valley, AZ 85144-0027

Mailing address

1659 W Flintlock Dr
San Tan Valley, AZ 85144-0027
Phone (484) 769-5624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ, TX, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130213000376 PA Practitioner - Clinical Social Worker 7618121930 Reassigns benefits to 1 organization
I20240925002653 AZ Practitioner - Clinical Social Worker 7618121930 Reassigns benefits to 1 organization
I20241129000508 TX Practitioner - Clinical Social Worker 7618121930 Reassigns benefits to 1 organization
I20260318001057 CA Practitioner - Clinical Social Worker 7618121930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1659 W Flintlock Dr
San Tan Valley, AZ 85144-0027

402 W Broadway
Suite 400
San Diego, CA 92101-3554

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19510AZMDClinical Social Worker
CW017502PAMDClinical Social Worker
137135CAMDMarriage & Family Therapist
104877TXMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Feb 6, 2026 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 13, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1063741288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W FLINTLOCK DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851440027",
            "telephone_number": "484-769-5624",
            "fax_number": "717-236-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W FLINTLOCK DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851440027",
            "telephone_number": "484-769-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW017502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.