MEDICARE: LENORE RANKIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1096	TN

General Provider Information

NPI Number	:	1104347780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENORE RANKIN LCSW

Provider Business Mailing Address
First Line	:	1024 SUMMERVIEW CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2347
Country	:	US
Telephone Number	:	615-828-2068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 SUMMERVIEW CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2347
Country	:	US
Telephone Number	:	615-828-2068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2017
Last Update Date	:	07/21/2022

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