Provider Demographics
NPI:1588681670
Name:RANES, DIANE H (PHD, LCSW, MSW, MA)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:H
Last Name:RANES
Suffix:
Gender:F
Credentials:PHD, LCSW, MSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 JONES FERRY RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-6113
Mailing Address - Country:US
Mailing Address - Phone:919-636-5695
Mailing Address - Fax:
Practice Address - Street 1:103 MARKET STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516
Practice Address - Country:US
Practice Address - Phone:919-929-1375
Practice Address - Fax:919-929-0711
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028661041C0700X
MEME2958031041C0700X
NYRO23065-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1301FOtherBLUE CROSS BLUE SHIELD
NC6002314Medicaid
NC2873353Medicare ID - Type Unspecified