Randall Alan Pickering, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003281A Issued in IN

Practice address

1116 N 16TH St
Lafayette, IN 47904-2119

Phone

(765) 423-6300

Fax

(765) 423-6301

NPI assigned

Mar 22, 2007

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rpickering203839@direct.franciscanalliance.org

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

• Behavior Consultation Services

  • Specialist
  • Brownsburg, IN
  • NPI 1659363976

  Clinical

  NPD (past)
• Psychological Laboratories of Indianapolis, PC

  • Psychologist
  • Indianapolis, NE
  • NPI 1295853992
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003932922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N 16TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042119",
            "telephone_number": "765-423-6300",
            "fax_number": "765-423-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "RANDALL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003281A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpickering203839@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1116 N 16th St",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physicians Homecare, Inc
• Physiocare Homecare LLC
• Pickerill Personalized Care LLC
• Casey L Pickerill, MD
• Jennifer Pickering, CST
• Piece by Piece ABA Therapy LLC (Piece by Piece of Lafayette)
• Eva Larissa Pier, LMHC, LCACA
• Cassidy Pierce, RBT
• Jessica Lynn Pierce
• Regina R Pilotte, OT

• Clinical Social Worker in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.