Randy Neblett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17161 Issued in ME

Practice address

104 Main St Unit 1105
Blue Hill, ME 04614-1743

Phone

(916) 316-2756

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1265032957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST UNIT 1105",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141743",
            "telephone_number": "916-316-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST UNIT 1105",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141743",
            "telephone_number": "916-316-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBLETT",
        "first_name": "RANDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LC17161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J. Mitchell, PA-C
• Erica Moffet, LAC
• Claire F Mortimer, FNP, MSN
• Michael G Murnik, MD
• Nancy M Plouffe, LLC
• Suzanne B. Norgang, CNM
• Kathleen Ober
• Kyle Mathew Patten, DC
• Shelby Lynn Patten, DC
• Pborchard, LLC

• Clinical Social Worker in Blue Hill, ME
• Providers in Blue Hill, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.