Rayanne Phelps Sanders, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22609 Issued in FL

Practice address

124 John King Rd
Crestview, FL 32539-8306

Phone

(850) 634-6020

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 850 Therapy, LLC

  • Speech-Language Pathologist
  • Crestview, FL
  • NPI 1013783711
  NPD
• Exit 56 Therapy Group LLC

  • Clinical Social Worker
  • Crestview, FL
  • NPI 1013733799
  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1538985437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 KAIS ST",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325318483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JOHN KING RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398306",
            "telephone_number": "850-634-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RAYANNE",
        "middle_name": "PHELPS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe and Secure Respite Care, LLC (Carington Manor)
• Safe and Secure Respite Care, LLC (Carington Manor)
• Sage Wellness Birth Collaborative
• Candice Mi Salis
• Ericka Sam, LCSW
• Santa Rosa HB Medical Services LLC
• Lindsay Ann Santos, ARNP
• Ruth Elina Sarit
• Christine Marie Sass, MPT
• John Jeremy Saunders, PHARM.D

• Clinical Social Worker in Crestview, FL
• Providers in Crestview, 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 Nov 25, 2024; 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.