Individual provider Active NPI

Katherin Ranzoni, MSW, MED., CCDC-I

  • Clinical Social Worker
  • Kent, WA
National Provider Identifier
1619948312
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006623 Issued in WA
Practice address
11126 SE 256TH St
Suite 0-205
Kent, WA 98030-5633
Phone
(253) 852-1261
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00002380 WA
Mental Health Counselor 101YM0800X LH00006741 WA
Clinical Social Worker 1041C0700X LW00006623 WA Primary
Marriage & Family Therapist 106H00000X LF00001666 WA

Addresses

Primary practice location

11126 SE 256TH St
Suite 0-205
Kent, WA 98030-5633

Mailing address

830 Stetson Ave
Kent, WA 98031-3125
Phone (253) 852-1261

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CP00002380WAMDAddiction (Substance Use Disorder) Counselor
LH00006741WAMDMental Health Counselor
LF00001666WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1619948312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 STETSON AVE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313125",
            "telephone_number": "253-852-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 SE 256TH ST",
            "address_2": "SUITE 0-205",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305633",
            "telephone_number": "253-852-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANZONI",
        "first_name": "KATHERIN",
        "credential": "MSW, MED., CCDC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002380",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006623",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.