Active NPIIndividual provider

Crystal A Randolph, LCSW

Social Worker, Clinical in San Antonio, Texas

NPI Number1811463797
Practice location
8500 Village Dr Ste 101, San Antonio, TX 78217-5510
Fax
833-629-0318
Last updated
March 23, 2023

Crystal A Randolph is a Social Worker, Clinical based in San Antonio, TX. Crystal A Randolph practices in San Antonio, TX and has the professional credentials of LCSW. The NPI Number for Crystal A Randolph is 1811463797 and holds a License No. 39321 (TX). The current practice location address for Crystal A Randolph is 8500 Village Dr Ste 101, San Antonio, TX 78217-5510 and can be reached out via phone at 726-201-3047 and via fax at 833-629-0318.

Provider Profile Details

NPI Number
1811463797
Provider Name
Crystal A Randolph
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
8500 Village Dr Ste 101, San Antonio, TX 78217-5510
Phone Number
726-201-3047
Fax Number
833-629-0318
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2018
Last Update Date
March 23, 2023
Certification Date
March 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8500 Village Dr Ste 101
San Antonio, TX 78217-5510
State
Texas
Zip
78217-5510
Phone Number
726-201-3047
Fax Number
833-629-0318
San Antonio, TX 78217Get directions →

Provider Business Mailing Address Details

Address
221 Crescent St Ste 202
Waltham, MA 02453-3425
City
Waltham
State
MA
Zip
02453-3425
Phone Number
781-487-1107

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
39321
License State (2)
TX
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 Crystal A Randolph, LCSW?

The NPI number of Crystal A Randolph, LCSW is 1811463797. It was assigned on October 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Crystal A Randolph, LCSW?

Crystal A Randolph, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in TX under license number 39321.

Where does Crystal A Randolph, LCSW practice?

The practice location is 8500 Village Dr Ste 101, San Antonio, TX 78217-5510. The office can be reached at 726-201-3047 (phone) or 833-629-0318 (fax).

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 1811463797 directly on the NPPES registry website.

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