Provider Demographics
NPI:1215667381
Name:DRANEY, KERRY ANNE (LMSW)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:ANNE
Last Name:DRANEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 E CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-3839
Mailing Address - Country:US
Mailing Address - Phone:602-315-0267
Mailing Address - Fax:
Practice Address - Street 1:2119 E CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-3839
Practice Address - Country:US
Practice Address - Phone:602-315-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-43540104100000X
AZLMSW16101104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker