Individual provider Active NPI

Melinda M Randa, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1245057728
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4108-123 Issued in WI
Practice address
2500 W Layton Ave Ste 110
Milwaukee, WI 53221-5400
Phone
(414) 383-4455
Fax
(414) 727-8730
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4108-123 WI Primary

Addresses

Primary practice location

2500 W Layton Ave Ste 110
Milwaukee, WI 53221-5400

Mailing address

2500 W Layton Ave Ste 110
Milwaukee, WI 53221-5400
Phone (414) 383-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250108004129 WI Practitioner - Clinical Social Worker 3375071087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multi-Cultural Counseling Services II Inc.Group PAC ID 1850301672, 7 clinicians

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 110
Milwaukee, WI 53221-5400
Phone (414) 383-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4108-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Counseling Services II Inc. CurrentSince Sep 27, 2024 Accepting new patients

Locations

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

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.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1245057728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215400",
            "telephone_number": "414-383-4455",
            "fax_number": "414-727-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215400",
            "telephone_number": "414-383-4455",
            "fax_number": "414-727-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDA",
        "first_name": "MELINDA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4108-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.