Individual provider Active NPI

Laura E Ransdell, LCSW

  • Clinical Social Worker
  • Yucca Valley, CA
National Provider Identifier
1104963925
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 27367 Issued in CA
Practice address
56244 Papago TRL Ste 5
Yucca Valley, CA 92284-3285
Phone
(760) 910-5017
Fax
(760) 418-5451
NPI assigned
Jan 31, 2007
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 LCS 27367 CA Primary

Addresses

Primary practice location

56244 Papago TRL Ste 5
Yucca Valley, CA 92284-3285

Mailing address

56244 Papago TRL Ste 5
Yucca Valley, CA 92284-3285
Phone (760) 910-5017

Other practice location 1

55475 Santa Fe Trl
Yucca Valley, CA 92284-3117
Phone (760) 365-3022 ext. 737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110616000154 CA Practitioner - Clinical Social Worker 8123205309 Practice locations: Yucca Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

56244 Papago Trail
Suite 5 Room D
Yucca Valley, CA 92284
Phone (760) 910-5017

56244 Papago TRL
Yucca Valley, CA 92284-3285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 27367CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1104963925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56244 PAPAGO TRL STE 5",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843285",
            "telephone_number": "760-910-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56244 PAPAGO TRL STE 5",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843285",
            "telephone_number": "760-910-5017",
            "fax_number": "760-418-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55475 Santa Fe Trl",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922843117",
            "country_code": "US",
            "telephone_number": "760-365-3022 x737",
            "fax_number": "760-365-3513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANSDELL",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.