Individual provider Active NPI

Margo Janeen Randolph, MSW, LCSW

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1306143441
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
284557 Issued in CA
Practice address
1701 Mission Ave Ste 230
Oceanside, CA 92058-7110
Phone
(760) 712-3535
Fax
(760) 439-6901
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 284557 CA Primary

Addresses

Primary practice location

1701 Mission Ave Ste 230
Oceanside, CA 92058-7110

Mailing address

1701 Mission Ave Ste 230
Oceanside, CA 92058-7110
Phone (760) 712-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230629002222 CA Practitioner - Clinical Social Worker 0941669543 Reassigns benefits to 1 organization
I20260213001007 AZ Practitioner - Clinical Social Worker 0941669543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

1701 Mission Ave
Suite 230
Oceanside, CA 92058-7110
Phone (760) 712-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
284557CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince May 21, 2023 Accepting new patients
U2Rworthit1 LLC CurrentSince Jan 5, 2026 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Arizona Total Care LLC CurrentSince Jan 5, 2026 Accepting new patients
Mental Health Systems, Inc. PastSince May 21, 2023 Accepting new patients

Locations

6612 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 207-1585

3609 Ocean Ranch Blvd
Ste 110
Oceanside, CA 92056
Phone (760) 754-0974

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

Organizations & group practices 5

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1306143441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE STE 230",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587110",
            "telephone_number": "760-712-3535",
            "fax_number": "760-439-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE STE 230",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587110",
            "telephone_number": "760-712-3535",
            "fax_number": "760-439-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MARGO",
        "middle_name": "JANEEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "284557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.