Individual provider Active NPI

Randall George Parent, LCSW

  • Clinical Social Worker
  • Covington, LA
National Provider Identifier
1265714703
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2765 Issued in LA
Practice address
600 N Highway 190
Suite 207
Covington, LA 70433-5003
Phone
(985) 231-8215
Fax
(985) 340-8066
NPI assigned
Sep 11, 2011
Last updated
Sep 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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 2765 LA Primary

Addresses

Primary practice location

600 N Highway 190
Suite 207
Covington, LA 70433-5003

Mailing address

1200 Lafitte Dr
Unit 19
Hammond, LA 70401-1654
Phone (985) 231-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120619000107 LA Practitioner - Clinical Social Worker 8820252133 Practice locations: Covington, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 N Hwy 190
Suite 207
Covington, LA 70433-5084
Phone (985) 231-8215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2765LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Mayo Healthcare Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315699200000",
    "number": "1265714703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAFITTE DR",
            "address_2": "UNIT 19",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704011654",
            "telephone_number": "985-231-8215",
            "fax_number": "985-340-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIGHWAY 190",
            "address_2": "SUITE 207",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335003",
            "telephone_number": "985-231-8215",
            "fax_number": "985-340-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "RANDALL",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.