Brenda E. Walker Randolph, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070720 Issued in NY

Practice address

99 Main St
Nyack, NY 10960-3109

Phone

(914) 391-2847

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1205003241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MIDWAY RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777013",
            "telephone_number": "914-391-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603109",
            "telephone_number": "914-391-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "BRENDA",
        "middle_name": "E. WALKER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070720",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04859200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmadur Rahman, MD
• Roger Raichelson, MD
• Alex Ramadanis, SPED
• Kalpana Ramdas, MD
• Johanna Ramos
• Chris F. Randolph, LCAT
• Marcia Rappaport, R.D., CDN, IBCLC
• Rupangi Rastogi, PHARMD
• Eunisa Leigh Rauschenberg, MS, ATR-BC, LCAT
• Jennifer L Reardon, NP

• Clinical Social Worker in Nyack, NY
• Providers in Nyack, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.