Individual provider Active NPI

Randi Ippolito, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1366025645
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW21660 Issued in PA
Practice address
1350 Old Freeport Rd
Pittsburgh, PA 15238-3122
Phone
(412) 406-7734
Fax
(412) 406-7742
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW21660 PA Primary

Addresses

Primary practice location

1350 Old Freeport Rd
Pittsburgh, PA 15238-3122

Mailing address

4418 William Flynn Hwy
Allison Park, PA 15101-1417
Phone (724) 301-6764

Other practice location 1

300 Northpointe Cir Ste 105
Seven Fields, PA 16046-7862
Phone (412) 406-7734

Other practice location 2

2300 Freeport Rd Ste 1A
New Kensington, PA 15068-4669
Phone (412) 406-7734

Other names 1

  • Miss Randi Gartner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210511000059 PA Practitioner - Clinical Social Worker 9931518644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Psychological ServicesGroup PAC ID 2264618792, 12 clinicians

Practice addresses (Care Compare)

1350 Old Freeport Rd
Suite 1a
Pittsburgh, PA 15238-3122
Phone (412) 406-7734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW21660PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services Multi-Specialty CurrentSince May 6, 2021 Accepting new patients
The Circulatory Center of PA, Inc. Multi-Specialty PastSince May 6, 2021 Accepting new patients

Locations

2300 Freeport Rd
Ste 1A
New Kensington, PA 15068
Phone (412) 406-7734

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

300 Northpointe Cir
Ste 105
Seven Fields, PA 16046
Phone (412) 406-7734

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1366025645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 WILLIAM FLYNN HWY",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011417",
            "telephone_number": "724-301-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Northpointe Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467862",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Freeport Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New Kensington",
            "state": "PA",
            "postal_code": "150684669",
            "country_code": "US",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "RANDI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW21660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "GARTNER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.