Randi Nathan Hall, LCSW
Individual provider Active NPI Clinical Social Worker · Northfield, CT
NPI 1346487196 · NPPES record last updated Jan 15, 2009
Key facts
- NPI
- 1346487196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 005428 (CT)
- Practice address
- 104 Campville Rd
Northfield, CT 06778-2622 - Phone
- (203) 206-3305
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Resource Center
Practice addresses (Care Compare)
14 S Main St
Thomaston, CT 06787-1734
Phone (203) 578-5072
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150506001064 | CT | Practitioner - Clinical Social Worker | 0840519294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001328 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005428 | CT | Yes |
Addresses
Primary practice location
104 Campville Rd
Northfield, CT 06778-2622
Mailing address
104 Campville Rd
Northfield, CT 06778-2622
Phone (203) 206-3305
Other providers in Northfield, CT
- Dana Gray
- Herbert L Hall
- Karli Kisiel
- Eve Moura
- Nicole I. Mulhall
- NP Primary Care, LLC
- Mary H Spierto
All providers in Northfield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.