Individual provider Active NPI

Heather Lynne Ravnan, LMSW

  • Clinical Social Worker
  • Spartanburg, SC
National Provider Identifier
1477565752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007191 Issued in SC
Practice address
186 W Main St
Spartanburg, SC 29306-2333
Phone
(864) 583-5802
Fax
(864) 582-2697
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 007191 SC Primary

Addresses

Primary practice location

186 W Main St
Spartanburg, SC 29306-2333

Mailing address

186 W Main St
Spartanburg, SC 29306-2333
Phone (864) 583-5802

Other identifiers 1

IdentifierTypeStateIssuer
007191OtherSCLMSW LICENSURE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007191SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Center of Mentalhealthamerica&Carolinacounseling,Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477565752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 W MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062333",
            "telephone_number": "864-583-5802",
            "fax_number": "864-582-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062333",
            "telephone_number": "864-583-5802",
            "fax_number": "864-582-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVNAN",
        "first_name": "HEATHER",
        "middle_name": "LYNNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "007191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSURE",
            "identifier": "007191",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.