Provider Demographics
NPI:1356314439
Name:RANIERI, SHEILA G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:G
Last Name:RANIERI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MEDICAL ARTS BLDG STE 240
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7132
Mailing Address - Country:US
Mailing Address - Phone:724-543-1043
Mailing Address - Fax:724-545-1857
Practice Address - Street 1:200 MEDICAL ARTS BLDG STE 240
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7132
Practice Address - Country:US
Practice Address - Phone:724-543-1043
Practice Address - Fax:724-545-1857
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000648450OtherPENNSYLVANIA BLUES
PA279440000OtherMAGELLAN
PA226830OtherVALUE OPTIONS
PA279440000OtherMAGELLAN
PARA645480Medicare ID - Type Unspecified