Individual provider Active NPI

Randi Hermansen-Bell, MSW

  • Social Worker
  • Brick, NJ
National Provider Identifier
1144636135
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SLO5725900 Issued in NJ
Practice address
105 Hendrickson Ave
Brick, NJ 08724-2574
Phone
(732) 785-3000
Fax
(732) 458-9777
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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 44SLO5725900 NJ Primary

Addresses

Primary practice location

105 Hendrickson Ave
Brick, NJ 08724-2574

Mailing address

105 Hendrickson Ave
Brick, NJ 08724-2574
Phone (732) 785-3000

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
44SLO5725900NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1144636135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HENDRICKSON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242574",
            "telephone_number": "732-785-3000",
            "fax_number": "732-458-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HENDRICKSON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242574",
            "telephone_number": "732-785-3000",
            "fax_number": "732-458-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSEN-BELL",
        "first_name": "RANDI",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SLO5725900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.