Nikole Dianna Rang, LMSW, QMHP, QIDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094363 Issued in MI

Practice address

789 N Clare Ave
Harrison, MI 48625-9194

Phone

(989) 539-2141

Fax

(989) 539-2143

NPI assigned

Apr 23, 2013

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1881038685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "address_2": "PO BOX 817",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2141",
            "fax_number": "989-539-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2141",
            "fax_number": "989-539-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANG",
        "first_name": "NIKOLE",
        "middle_name": "DIANNA",
        "credential": "LMSW, QMHP, QIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Pawlowski
• Helaina Marie Petipren
• Vanessa Lynn Phelps, RN
• Sarah Priebe
• Kristen Provost, LMSW
• Mary Richards
• Cheri Alaine Richter, RPH
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03253)
• Tammy Roberts
• Madaline Robinson

• Clinical Social Worker in Harrison, MI
• Providers in Harrison, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.