Healthcare Provider Details

I. General information

NPI: 1164888772
Provider Name (Legal Business Name): MICHAEL ALEXANDER RONAYNE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 ATLANTIC AVE APT 1213
DELRAY BEACH FL
33446-3832
US

IV. Provider business mailing address

7631 ATLANTIC AVE APT 1213
DELRAY BEACH FL
33446-3832
US

V. Phone/Fax

Practice location:
  • Phone: 561-629-4925
  • Fax:
Mailing address:
  • Phone: 561-629-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: