Provider Demographics
NPI:1992373682
Name:ROONEY, RAVYN ALEXANDRIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:RAVYN
Middle Name:ALEXANDRIA
Last Name:ROONEY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2985 LANDOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-7258
Mailing Address - Country:US
Mailing Address - Phone:352-683-3630
Mailing Address - Fax:352-683-8892
Practice Address - Street 1:2985 LANDOVER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-7258
Practice Address - Country:US
Practice Address - Phone:352-683-3630
Practice Address - Fax:352-683-8892
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW225891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical