Active NPI
Rania Lee K Kanazi
- Clinical Social Worker
- New York, NY
National Provider Identifier
1821246943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73077356
- Practice address
- 24 E 12TH St RM 605
Floor 6
New York, NY 10003-4552 - Phone
- (917) 496-6806
- NPI assigned
- Sep 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 074308-1 | NY | |
| Clinical Social Worker | 1041C0700X | 73077356 | NY | Primary |
Addresses
Primary practice location
24 E 12TH St RM 605
Floor 6
New York, NY 10003-4552
Mailing address
24 E 12TH St RM 605
Floor 6
New York, NY 10003-4552
Phone (917) 496-6806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074308-1 | NY | MD | Mental Health Counselor |
| 73077356 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1821246943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 E 12TH ST RM 605",
"address_2": "FLOOR 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034552",
"telephone_number": "917-496-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 E 12TH ST RM 605",
"address_2": "FLOOR 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034552",
"telephone_number": "917-496-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAZI",
"first_name": "RANIA LEE",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "074308-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73077356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.