Active NPIIndividual provider

Ms. Jennifer L Randall, MSW, LICSW

Social Worker, Clinical in Westwood, Massachusetts

NPI Number1013083294
Practice location
789 Clapboardtree St, Harbor Counseling Center, Westwood, MA 02090-1717
Fax
—
Last updated
October 1, 2007

Jennifer Lynn Randall is a Social Worker, Clinical based in Westwood, MA. Jennifer Lynn Randall practices in Westwood, MA and has the professional credentials of MSW, LICSW. The NPI Number for Jennifer Lynn Randall is 1013083294 and holds a License No. 212276 (MA). The current practice location address for Jennifer Lynn Randall is 789 Clapboardtree St, Harbor Counseling Center, Westwood, MA 02090-1717 and can be reached out via phone at 781-461-0006.

Provider Profile Details

NPI Number
1013083294
Provider Name
Jennifer Lynn Randall
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
789 Clapboardtree St, Harbor Counseling Center, Westwood, MA 02090-1717
Phone Number
781-461-0006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2006
Last Update Date
October 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
789 Clapboardtree St
Harbor Counseling Center
Westwood, MA 02090-1717
Zip
02090-1717
Phone Number
781-461-0006
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
43 Angleside RD Apt 1
Waltham, MA 02453-2614
City
Waltham
State
MA
Zip
02453-2614
Phone Number
617-480-9898

License Information

License Number (1)
212276
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
114218
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jennifer L Randall, MSW, LICSW?

The NPI number of Ms. Jennifer L Randall, MSW, LICSW is 1013083294. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer L Randall, MSW, LICSW?

Ms. Jennifer L Randall, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 212276.

Where does Ms. Jennifer L Randall, MSW, LICSW practice?

The practice location is 789 Clapboardtree St, Harbor Counseling Center, Westwood, MA 02090-1717. The office can be reached at 781-461-0006 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013083294 directly on the NPPES registry website.

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