Active NPI
Brian J Rank, ACSW
- Clinical Social Worker
- Ukiah, CA
National Provider Identifier
1922318898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW29538
- Practice address
- 350 E Gobbi St
Ukiah, CA 95482-5511 - Phone
- (707) 472-2922
- NPI assigned
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | ASW29538 | CA | Primary |
Addresses
Primary practice location
350 E Gobbi St
Ukiah, CA 95482-5511
Mailing address
PO Box 1244
Ukiah, CA 95482-1244
Phone (413) 297-3133
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 |
|---|---|---|---|
| ASW29538 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1922318898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1244",
"city": "UKIAH",
"state": "CA",
"postal_code": "954821244",
"telephone_number": "413-297-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E GOBBI ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825511",
"telephone_number": "707-472-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANK",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW29538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.