Randy Wayne Cable II, LISW, LICDC, PRS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405356 Issued in OH

Practice address

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Phone

(740) 237-4981

Fax

(877) 325-2816

NPI assigned

Oct 10, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1598366346

  Mental Health

  NPD
• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1972100014

  Addiction (Substance Use Disorder)

  NPD
• Pike County Recovery Council Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waverly, OH
  • NPI 1760742993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1003326653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 STANLEY ST",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383148",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Pvt Dr 1122A",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "45638",
            "country_code": "US",
            "telephone_number": "740-237-4981 x300",
            "fax_number": "877-325-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 County Road 24",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456383186",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABLE",
        "first_name": "RANDY",
        "middle_name": "WAYNE",
        "name_suffix": "II",
        "credential": "LISW, LICDC, PRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003697",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162366",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Boyd, CDCA.193964
• Danielle Boyer
• Mary Bruce, LCDCIII
• Carolyn Bryant, CDCA.188258
• David L Burney, CDCA.177160
• Riley Cade
• Daniel J Cardona, M.D.
• Christina L Christian, LPN.112021.MEDS
• Emily Christian, CDCA.184182
• Nicholas Christian, CMS

• All providers in Coal Grove, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.