Colleen D Ranalli, LCSW
Individual provider Active NPI Clinical Social Worker · Lotus, CA
NPI 1942999321 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1942999321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS13516 (CA)
- Practice address
- 4889 Petersen LN
Lotus, CA 95651-9712 - Phone
- (530) 559-2309
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS13516 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS13516 | CA | Yes |
Addresses
Primary practice location
4889 Petersen LN
Lotus, CA 95651-9712
Mailing address
4889 Petersen LN
Lotus, CA 95651-9712
Phone (530) 559-2309
Other providers in Lotus, CA
- Karen Ruth Kelleher
- Lucas Michael McRoberts
- Mike Moreland
- Brittany Marie Munoz
- Haley Marie Paolucci
- Renee Elaine Rose-Lynville
- Kurt William Seckington
- Duane Stigen
- Joseph C Tholmer
- Dani Waldron
All providers in Lotus, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.