Individual provider Active NPI

Randi Jill Cavuoto, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1053713461
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087303 Issued in NY
Practice address
211 E 7TH St Ste 620
Austin, TX 78701-3218
Phone
(415) 504-3838
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087303 NY
Clinical Social Worker 1041C0700X 087303 NY Primary

Addresses

Primary practice location

211 E 7TH St Ste 620
Austin, TX 78701-3218

Mailing address

3033 Campus Dr Ste W225
Plymouth, MN 55441-2752

Other names 1

  • Randi Krassner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000858 TX Practitioner - Clinical Social Worker 4486067519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087303NYMDClinical Social Worker
104166TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Dec 1, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

3033 Campus Dr
Ste W225
Plymouth, MN 55441
Phone (415) 429-6977

80 State St
Albany, NY 12207
Phone (415) 742-8411

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: randi.cavuoto.1@30520.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1053713461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE W225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST STE 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "415-504-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVUOTO",
        "first_name": "RANDI",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "KRASSNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.