Individual provider Active NPI

Randi L Sisco, LCSW

  • Clinical Social Worker
  • Cairo, NY
National Provider Identifier
1053960427
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095887-01 Issued in NY
Practice address
905 Greene County Office BLDG.
Cairo, NY 12413-9511
Phone
(518) 622-9163
Fax
(518) 621-4228
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095887-01 NY Primary

Addresses

Primary practice location

905 Greene County Office BLDG.
Cairo, NY 12413-9511

Mailing address

905 Greene County Office BLDG.
Cairo, NY 12413-9511
Phone (518) 622-9163

Other names 1

  • Ms. Randi L Sisco-Studnitzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230920002771 NY Practitioner - Clinical Social Worker 7214381532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone (518) 622-9163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Greene Mental Health CurrentSince Aug 13, 2023 Accepting new patients
County of Greene CurrentSince Aug 13, 2023 Accepting new patients

Locations

905 Greene County Office Bldg
Cairo, NY 12413

Organizations & group practices 2

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1053960427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG.",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124139511",
            "telephone_number": "518-622-9163",
            "fax_number": "518-621-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG.",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124139511",
            "telephone_number": "518-622-9163",
            "fax_number": "518-621-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO",
        "first_name": "RANDI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095887-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "SISCO-STUDNITZER",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cairo, NY

Sources for this page

Verify at the official NPI Registry.