Individual provider Active NPI

Allene Lynn Ranew, PH.D., LCSW

  • Clinical Social Worker
  • Hapeville, GA
National Provider Identifier
1548334188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000216 Issued in GA
Practice address
3578 S Fulton Ave
Hapeville, GA 30354-1756
Phone
(404) 669-3462
Fax
(404) 669-3957
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 000216 GA Primary

Addresses

Primary practice location

3578 S Fulton Ave
Hapeville, GA 30354-1756

Mailing address

3578 S Fulton Ave
Hapeville, GA 30354-1756
Phone (404) 669-3462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20090915000530 GA Practitioner - Clinical Social Worker 8729134861 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2097 Marann Dr NE
Atlanta, GA 30345-3575
Phone 40423398856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000216GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548334188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 S FULTON AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541756",
            "telephone_number": "404-669-3462",
            "fax_number": "404-669-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3578 S FULTON AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541756",
            "telephone_number": "404-669-3462",
            "fax_number": "404-669-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEW",
        "first_name": "ALLENE",
        "middle_name": "LYNN",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hapeville, GA

Sources for this page

Verify at the official NPI Registry.