Provider Demographics
NPI:1659308336
Name:RANNEY, SARAH DAWN (LCSW, CPC, CDEO)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:DAWN
Last Name:RANNEY
Suffix:
Gender:F
Credentials:LCSW, CPC, CDEO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:DAWN
Other - Last Name:SCHEIMREIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CPC, CDEO
Mailing Address - Street 1:8220 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32408-5346
Mailing Address - Country:US
Mailing Address - Phone:570-850-3682
Mailing Address - Fax:
Practice Address - Street 1:195 MEADOW GREEN DR
Practice Address - Street 2:
Practice Address - City:MIFFLINBURG
Practice Address - State:PA
Practice Address - Zip Code:17844-9301
Practice Address - Country:US
Practice Address - Phone:570-850-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW163301041C0700X
PACW0146021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102383066Medicaid
PA076177YAAXMedicare UPIN