Provider Demographics
NPI:1225514078
Name:CARMELIE RANK, LCSW LLC
Entity Type:Organization
Organization Name:CARMELIE RANK, LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:717-368-2156
Mailing Address - Street 1:1405 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4923
Mailing Address - Country:US
Mailing Address - Phone:717-368-2156
Mailing Address - Fax:
Practice Address - Street 1:237 N PRINCE ST STE 302
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4062
Practice Address - Country:US
Practice Address - Phone:717-368-2156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0177471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty