Active NPI
Katherin Ranzoni, MSW, MED., CCDC-I
- Clinical Social Worker
- Kent, WA
National Provider Identifier
1619948312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00006623
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00002380 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00006741 | WA | MD | Mental Health Counselor |
| LF00001666 | WA | MD | Marriage & 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.