Organization Active NPI

Steven James Randolph LCSW-Acsw

  • Clinical Social Worker
  • Shawnee, OK
National Provider Identifier
1154873552
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1523 Issued in OK
Legal business name
STEVEN JAMES RANDOLPH LCSW-ACSW
Practice address
23 E 9TH St
Ste 321
Shawnee, OK 74801-6943
Phone
(405) 476-5487
Fax
(405) 521-9736
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Steven James Randolph, LCSW-ACSW
Title
Managing Member
Phone
(405) 476-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1523 OK Primary

Addresses

Primary practice location

23 E 9TH St
Ste 321
Shawnee, OK 74801-6943

Mailing address

419 W Gray St
Norman, OK 73069-7117
Phone (405) 329-7300

National Provider Directory

National Provider Directory

Locations

23 E 9th St
Ste 321
Shawnee, OK 74801
Phone (405) 476-5487

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1154873552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W GRAY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697117",
            "telephone_number": "405-329-7300",
            "fax_number": "405-364-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST",
            "address_2": "STE 321",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016943",
            "telephone_number": "405-476-5487",
            "fax_number": "405-521-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JAMES RANDOLPH LCSW-ACSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-476-5487",
        "authorized_official_credential": "LCSW-ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.