Active NPI
Natasha Lynn Randall, LCSW
- Clinical Social Worker
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011216
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401-5719 - Phone
- (540) 373-3223
- Fax
- (540) 371-3753
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904011216 | VA | Primary |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401-5719
Mailing address
1033 Bakersfield LN
Fredericksburg, VA 22401-2783
Phone (202) 327-3613
Other names 1
- Natasha Lynn Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223
Hospital & facility affiliations
- Mary Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904011216 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rappahannock Area Community Services Board | Multi-Specialty | Current | Accepting new patients |
| New Vision Counseling and Consulting, LLC | Clinical | Current | Accepting new patients |
Locations
600 Jackson St
Fredericksburg, VA 22401
Phone (540) 373-3223
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fredericksburg, VA
- NPI 1790742153
Multi-Specialty
-
- Clinical Social Worker
- Springfield, VA
- NPI 1114575305
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1295233161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 BAKERSFIELD LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224012783",
"telephone_number": "202-327-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015719",
"telephone_number": "540-373-3223",
"fax_number": "540-371-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "NATASHA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "JOHNSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.