Individual provider Active NPI

Megan Elizabeth Randall, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1225673783
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926997 Issued in CO
Practice address
2860 S Circle Dr
Colorado Springs, CO 80906-4113
Phone
(719) 540-2100
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1901898 OH
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.09926997 CO Primary

Addresses

Primary practice location

2860 S Circle Dr
Colorado Springs, CO 80906-4113

Mailing address

3910 Wolcott PL
Colorado Springs, CO 80906-4825

Other practice location 1

Wittelsbacher Weg 8
Ramstein, EU 66877
DE
Phone (801) 773-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20220223002493 CO Practitioner - Clinical Social Worker 3173917820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Boulder Crescent St
Suite 201
Colorado Springs, CO 80903-3358
Phone (719) 757-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926997COMDClinical Social Worker
I.1901898OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Single Specialty CurrentSince Nov 17, 2021 Accepting new patients
Frontline Care Clinical CurrentSince Feb 3, 2025 Accepting new patients
Family Care Center, LLC Single Specialty CurrentSince Nov 17, 2021 Accepting new patients

Locations

10 Boulder Crescent St
Ste 201
Colorado Springs, CO 80903
Phone (719) 328-9099

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

2860 S Circle Dr
Colorado Springs, CO 80906
Phone (719) 203-9581

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1225673783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 WOLCOTT PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064113",
            "telephone_number": "719-540-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wittelsbacher Weg 8",
            "address_purpose": "LOCATION",
            "city": "Ramstein",
            "state": "EU",
            "postal_code": "66877",
            "country_code": "DE",
            "telephone_number": "801-773-4275",
            "country_name": "Germany",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.