Gerald Randall, CHW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CHW5204 Issued in MA

Practice address

28 Harding St
Middleboro, MA 02346-1014

Phone

(321) 368-2142

NPI assigned

Jan 28, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hardcore Connections Inc.

  • Community/Behavioral Health Agency
  • Middleboro, MA
  • NPI 1568258879
  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1144033796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE # 40649368",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "833-427-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARDING ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461014",
            "telephone_number": "321-368-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "GERALD",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MA",
            "license": "CHW5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psyched Group, LLC
• Puddingstone Place, LLC
• Laurie Quintal, LICSW
• Marc N Racicot
• Genevieve Raffa Lapointe, LICSW
• Evelyn Mae Rankin, M.S.CCC-SLP
• Dani Ray, MD
• Reads Collaborative
• Reads Inc.
• Redwood Acquistions West LLC

• All providers in Middleboro, MA
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.