Individual provider Active NPI

Randi Myers, LSW

  • Social Worker
  • Bedford, PA
National Provider Identifier
1073166658
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130764 Issued in PA
Practice address
9709 Lincoln Hwy
Bedford, PA 15522-3717
Phone
(814) 652-3220
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130764 PA Primary

Addresses

Primary practice location

9709 Lincoln Hwy
Bedford, PA 15522-3717

Mailing address

PO Box 145
Wood, PA 16694-0145
Phone (814) 635-3751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CommunityLife@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW130764PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Care Partnership, Inc. PastSince Jul 28, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: communitylife@upmcdirect.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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1073166658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "WOOD",
            "state": "PA",
            "postal_code": "166940145",
            "telephone_number": "814-635-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 LINCOLN HWY",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223717",
            "telephone_number": "814-652-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RANDI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommunityLife@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Community LIFE Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9709 Lincoln Hwy",
            "city": "Bedford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155223717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.