Sherwood Alfonso Randolph Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008869 Issued in VA

Practice address

719 N 25TH St
Richmond, VA 23223-6539

Phone

(804) 591-8696

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Virginia Commonwealth University, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rappahannock-Rapidan Community Services BoardGroup PAC ID 5496649584, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rappahannock-Rapidan Community Services Board

  • Community/Behavioral Health Agency
  • Warrenton, VA
  • NPI 1568424364
  Medicare reassignment Care Compare group NPD
• Rappahannock Rapidan CSB

  • Early Intervention Provider Agency
  • Culpeper, VA
  • NPI 1750504833
  NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1194176842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-591-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-591-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "SHERWOOD",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Randolph, LCSW, CSAC
• David M Randolph II, MD
• Holly Randolph, OTD
• Jessica Dionne Randolph, MD
• Krystal L. Randolph, M.S., ATC, VATL
• Aparna Ranjan, M.D.
• Mary M Ransom, MD
• Ronnie Darcel Ransome Jr., M.ED., LPC
• Stacy Ranson
• Krishnasree Kasuganti Rao, MD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.