Lynne Ravenel, M.S.W, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2152 Issued in SC

Practice address

1012 Anna Knapp Ext
Mt Pleasant, SC 29464-5400

Phone

(843) 884-3070

Fax

(843) 884-0061

NPI assigned

Oct 21, 2014

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• SLM Group

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1467270538
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1700280633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ANNA KNAPP EXT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645400",
            "telephone_number": "843-884-3070",
            "fax_number": "843-884-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 ANNA KNAPP EXT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645400",
            "telephone_number": "843-884-3070",
            "fax_number": "843-884-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENEL",
        "first_name": "LYNNE",
        "credential": "M.S.W, L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena C Randolph, CCC-SLP
• Betty Roberts Raney, MD
• Kathryn S Rankin
• Dianne Tolentino Rausher, LISW-CP
• Raven Holdings, LLC (Raven Pharmacy)
• James T Rawls, MD
• Liseth Raykes
• RBC Counseling Services, LLC
• RBG Agency LLC (Amada Senior Care Charleston)
• Ali Rea

• Clinical Social Worker in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.