Main Street Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9080 Issued in FL

Legal business name

MAIN STREET COUNSELING

Practice address

1069- Main Street
Ste 216
Sebastian, FL 32958

Phone

(772) 766-9152

Fax

(772) 766-9152

NPI assigned

Jul 28, 2017

Last updated

Jul 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Ranahan, LCSWNPI 1699098921

Title

Owner

Phone

(772) 766-9152

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James William Ranahan, MSW, LCSW

  • Clinical Social Worker
  • Sebastian, FL
  • NPI 1699098921
  Authorized official Same address or phone

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1386168771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036-MAIN STREET",
            "address_2": "STE 216",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-766-9152",
            "fax_number": "772-766-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069- MAIN STREET",
            "address_2": "STE 216",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-766-9152",
            "fax_number": "772-766-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "RANAHAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-766-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HX631Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M. Nasir Rizwi MD PA (Sebastian Heart Center)
• M. Nasir Rizwi MD PA
• Jordan Ma, DMD
• Alexander Albert Macia
• Kirk Edwin Maes, M.D.
• Antonio Maldonado, COTA
• Toni Shae Malloris, FNP-C
• Roxanne Malone, DDS
• Margaux Maloney
• Karen R Manley, CRNA

• Clinical Social Worker in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.