Active NPI
Kerry Baharanyi, LICSW
- Clinical Social Worker
- Opelika, AL
National Provider Identifier
1467990002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3830C
- Practice address
- 122 N 20TH St
Building #26
Opelika, AL 36801-5442 - Phone
- (334) 749-3593
- Fax
- (334) 749-3594
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3830C | AL | Primary |
Addresses
Primary practice location
122 N 20TH St
Building #26
Opelika, AL 36801-5442
Mailing address
409 E Thach Ave
Auburn, AL 36830-5539
Phone (334) 707-6007
Organizations & group practices 1
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3830C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Jordan | Clinical | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1467990002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E THACH AVE",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305539",
"telephone_number": "334-707-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 N 20TH ST",
"address_2": "BUILDING #26",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015442",
"telephone_number": "334-749-3593",
"fax_number": "334-749-3594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHARANYI",
"first_name": "KERRY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "3830C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.