Benjamin Mathias Randolph, MSW, SWLC, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32769 Issued in MT

Practice address

1231 N 29TH St
Billings, MT 59101-0122

Phone

(406) 248-3175

Fax

(406) 248-3821

NPI assigned

Nov 11, 2014

Last updated

Oct 17, 2018By 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 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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1255737789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-248-3175",
            "fax_number": "406-248-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-248-3175",
            "fax_number": "406-248-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "BENJAMIN",
        "middle_name": "MATHIAS",
        "name_prefix": "Mr.",
        "credential": "MSW, SWLC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-4198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "32769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew R Randak, M.D.
• Mark E. Randak, MD
• James Randall, MD
• Karen Amanda Randall, DMD
• Thomas Scott Randall, DMD
• Lisa Ann Ranes, RD
• Diane Williams Rankin, RPH
• Melissa Rankin
• Rebecca A Rath, DMD
• Mary Lynn Rathbun, OT

• Clinical Social Worker in Billings, MT
• Providers in Billings, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.