MEDICARE: MS. VERONICA R RANIWALA MSW

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	LCSW98172	CA
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1275070542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VERONICA R RANIWALA MSW

Provider Business Mailing Address
First Line	:	1128 E CASTLE ROCK RD
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-5689
Country	:	US
Telephone Number	:	323-205-6524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 E CASTLE ROCK RD
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-5689
Country	:	US
Telephone Number	:	323-205-6524
Fax Number	:

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

Provider Enumeration Date	:	01/25/2017
Last Update Date	:	02/02/2026

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