Provider Demographics
NPI:1659439842
Name:RANFT, KAROLA MARTHA (LCSW MSSA)
Entity Type:Individual
Prefix:MS
First Name:KAROLA
Middle Name:MARTHA
Last Name:RANFT
Suffix:
Gender:F
Credentials:LCSW MSSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 WEST 6TH ST
Mailing Address - Street 2:KAROLA M RANFT
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507
Mailing Address - Country:US
Mailing Address - Phone:814-454-7736
Mailing Address - Fax:
Practice Address - Street 1:3402 WEST LAKE RD
Practice Address - Street 2:KAROLA M RANFT
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505
Practice Address - Country:US
Practice Address - Phone:814-838-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW006355L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
710836Medicare ID - Type Unspecified