Active NPI
Angela Randle
- Social Worker
- Monroe, LA
National Provider Identifier
1356652473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11172
- Practice address
- 2404 Ferrand St
Suite 23
Monroe, LA 71201 - Phone
- (318) 323-0463
- Fax
- (318) 323-0465
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11172 | LA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2404 Ferrand St
Suite 23
Monroe, LA 71201
Mailing address
2004 Evangeline Dr
Bastrop, LA 71220-2223
Phone (318) 953-2532
Other practice location 1
123 Cason Ave
Bastrop, LA 71220-5005
Phone (318) 974-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11172 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Rehabilitation Center, Inc. | Past | Accepting new patients | |
| Immanuels Healing Center | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1285949065
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1043472608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1356652473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 EVANGELINE DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "712202223",
"telephone_number": "318-953-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 FERRAND ST",
"address_2": "SUITE 23",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-323-0463",
"fax_number": "318-323-0465"
}
],
"practiceLocations": [
{
"address_1": "123 Cason Ave",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "LA",
"postal_code": "712205005",
"country_code": "US",
"telephone_number": "318-974-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDLE",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11172",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.