Jacob C Randall, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20301 Issued in OK

Practice address

311 S Madison Ave
Tulsa, OK 74120-3208

Phone

(918) 582-0061

NPI assigned

Sep 26, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Youth Services of Tulsa

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306905096
  NPD (past)

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1225901192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741125130",
            "telephone_number": "918-382-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MADISON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203208",
            "telephone_number": "918-582-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JACOB",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "20301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiuri Ranchhod
• Mary Katherine Ranchhod, APRN - CNP
• Jonathan Michael Ranck, APRN NP-C
• Randall Segnar DDS PC
• Amber Nichole Randall
• Kenneth Edwin Randall, PT
• Pauline R Randall
• Tyler Randell
• Kimberly Lasha Randle
• Shaniece Randle

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.