Mr. Bryan J Randolph, LICSW
Social Worker, Clinical in Pike, New Hampshire
1639536147- Practice location
- 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615
- Phone
- 603-989-3500
- Fax
- —
- Last updated
- January 28, 2016
Bryan J Randolph is a Social Worker, Clinical based in Pike, NH. Bryan J Randolph practices in Pike, NH and has the professional credentials of LICSW. The NPI Number for Bryan J Randolph is 1639536147 and holds a License No. 1894 (NH). The current practice location address for Bryan J Randolph is 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615 and can be reached out via phone at 603-989-3500.
Provider Profile Details
- NPI Number
- 1639536147
- Provider Name
- Bryan J Randolph
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615
- Phone Number
- 603-989-3500
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 28, 2016
- Last Update Date
- January 28, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2274 Mount Moosilauke Hwy
Pike, NH 03780-5615 - City
- Pike
- State
- New Hampshire
- Zip
- 03780-5615
- Phone Number
- 603-989-3500
Provider Business Mailing Address Details
- Address
- Po Box 175
Haverhill, NH 03765-0175 - City
- Haverhill
- State
- NH
- Zip
- 03765-0175
- Phone Number
- 603-989-3500
License Information
- License Number
- 1894
- License State
- NH
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Pike, NH
View all Social Worker, Clinical providers in Pike →Frequently Asked Questions
What is the NPI number of Mr. Bryan J Randolph, LICSW?
The NPI number of Mr. Bryan J Randolph, LICSW is 1639536147. It was assigned on January 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Bryan J Randolph, LICSW?
Mr. Bryan J Randolph, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 1894.
Where does Mr. Bryan J Randolph, LICSW practice?
The practice location is 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615. The office can be reached at 603-989-3500 (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 1639536147 directly on the NPPES registry website.