Individual provider Active NPI

Neasa Randle, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1104175140
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7460 Central Business Park Dr
Norfolk, VA 23513-2818
Phone
(757) 644-6391
Fax
(757) 622-2011
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 Primary

Addresses

Primary practice location

7460 Central Business Park Dr
Norfolk, VA 23513-2818

Mailing address

7460 Central Business Park Dr
Norfolk, VA 23513-2818
Phone (757) 644-6391

Other practice location 1

355 Crawford St Ste 816
Portsmouth, VA 23704-2825
Phone (757) 966-2715

Other identifiers 1

IdentifierTypeStateIssuer
004945182MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260416001958 VA Practitioner - Clinical Social Worker 5597231605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

355 Crawford St
Suite 816
Portsmouth, VA 23704-2824

415 Saint Pauls Blsvd Unit
Suite 207
Norfolk, VA 23510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Current Counseling LLC CurrentSince Apr 7, 2026 Accepting new patients
Compass Youth Services Past Accepting new patients

Locations

355 Crawford St
Ste 816
Portsmouth, VA 23704
Phone (757) 966-1711

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1104175140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132818",
            "telephone_number": "757-644-6391",
            "fax_number": "757-622-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132818",
            "telephone_number": "757-644-6391",
            "fax_number": "757-622-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Crawford St Ste 816",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042825",
            "country_code": "US",
            "telephone_number": "757-966-2715",
            "fax_number": "757-432-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "NEASA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945182",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.