Provider Demographics
NPI:1689952558
Name:RANNEY, VENESSA M (LCSW)
Entity Type:Individual
Prefix:
First Name:VENESSA
Middle Name:M
Last Name:RANNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VENESSA
Other - Middle Name:
Other - Last Name:MORALES RANNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:111 DERBY LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8200
Mailing Address - Country:US
Mailing Address - Phone:561-676-5149
Mailing Address - Fax:
Practice Address - Street 1:111 DERBY LN
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8200
Practice Address - Country:US
Practice Address - Phone:561-676-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW73991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical