Active NPI
Randi Lee Anderson, JD, LCSW-R
- Social Worker
- New York, NY
National Provider Identifier
1164518379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069225-1
- Practice address
- 1397 2ND Ave
#123
New York, NY 10021-4505 - Phone
- (646) 232-9633
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 069225-1 | NY | Primary |
Addresses
Primary practice location
1397 2ND Ave
#123
New York, NY 10021-4505
Mailing address
300 E 74TH St
5C
New York, NY 10021-3712
Phone (646) 232-9633
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)
- Enrolled
- Credentials
- Juris Doctor
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients |
Interoperability endpoints
- randianderson@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278288000000",
"number": "1164518379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 74TH ST",
"address_2": "5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213712",
"telephone_number": "646-232-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 2ND AVE",
"address_2": "#123",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214505",
"telephone_number": "646-232-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RANDI",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "JD, LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2010-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069225-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.