Amanda Randall, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256

Phone

(330) 220-9679

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Infinity Counseling, LLC

  • Mental Health Counselor
  • Brunswick, OH
  • NPI 1386019438

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1306388277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 S CARPENTER RD APT 182",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123855",
            "telephone_number": "440-823-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD STE 101",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "330-220-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "AMANDA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Pottschmidt, MD
• Chelsea M Powers, AUD
• Siesha R Pratt
• Progressive Rolling Hills LLC
• Progressive Rolling Hills, LLC
• Rdnconnect LLC
• Angela Reese, LPN
• Rehabcare Group East, LLC
• Reliable Lifecare Staffing Agency LLC
• Kellie Vaughan Remington

• Social Worker in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.