Basic Information
Provider Information | |||||||||
NPI: | 1659439842 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | RANFT | ||||||||
FirstName: | KAROLA | ||||||||
MiddleName: | MARTHA | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | LCSW MSSA | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1012 WEST 6TH ST | ||||||||
Address2: | KAROLA M RANFT | ||||||||
City: | ERIE | ||||||||
State: | PA | ||||||||
PostalCode: | 16507 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8144547736 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 3402 WEST LAKE RD | ||||||||
Address2: | KAROLA M RANFT | ||||||||
City: | ERIE | ||||||||
State: | PA | ||||||||
PostalCode: | 16505 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8148381004 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/04/2006 | ||||||||
LastUpdateDate: | 07/08/2007 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | CW006355L | PA | Y |   | Behavioral Health & Social Service Providers | Social Worker |   |
No ID Information.