Maria Lenore Raine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107581 Issued in CA

Practice address

19 Ledgewood Dr
Rancho Santa Margarita, CA 92688-5542

Phone

(602) 391-3401

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Deeths Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1447039367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEDGEWOOD DR",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885542",
            "telephone_number": "602-391-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LEDGEWOOD DR",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885542",
            "telephone_number": "602-391-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINE",
        "first_name": "MARIA",
        "middle_name": "LENORE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DEETHS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pam Prouty, MASTERS DEGREE
• Melissa Lynn Pudgil
• Payton Purcell, LPCC
• Beeta Rahmani, NP
• Rainbow Kids Achievement Center
• Felicia Catalina Ramirez, RADT
• Hector Gustavo Ramirez Jr., M.D.
• Rancho Santa Margarita Physical Therapy Sports Medicine Inc
• Mehran Rastegar-Lari, D.D.S
• Reagan Dental Corporation (Rancho Dental Group)

• Clinical Social Worker in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.