Individual provider Active NPI

Ronald D Severns, LCSW

  • Clinical Social Worker
  • Hanford, CA
National Provider Identifier
1467736488
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25443 Issued in CA
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(559) 589-2310
Fax
(559) 589-2209
NPI assigned
Oct 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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 LCS25443 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

1025 N Douty St
Hanford, CA 93230-3722
Phone (559) 589-2310

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
I20120104000514 CA Practitioner - Clinical Social Worker 9234305780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Mar 29, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Mar 29, 2022 Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090

2141 High St
Selma, CA 93662
Phone (559) 856-6110

Organizations & group practices 2

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1467736488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-589-2310",
            "fax_number": "559-589-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-589-2310",
            "fax_number": "559-589-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERNS",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.