Randy Carol Faerber, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R032810 Issued in NY

Practice address

205 East 69TH Street
New York, NY 10021-5437

Phone

(917) 848-4065

Fax

(212) 986-0997

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Randy Buckingham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 1, 2016 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1376765230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST 71ST STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-972-9884",
            "fax_number": "212-986-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST 69TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215437",
            "telephone_number": "917-848-4065",
            "fax_number": "212-986-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAERBER",
        "first_name": "RANDY",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "BUCKINGHAM",
            "prefix": "MS.",
            "credential": "SOCIAL WORKER/CLINIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fadi F. Attiyeh, M.D., P.C.
• Akintayo Olalekan Fadoju, RN, NP
• Brendaliz Fadul, MHC
• Debra Sue Faecher, LCSW
• Gianni L Faedda, MD
• Danielle Faershtein
• Leslie Morrison Faerstein, ED.D.,LCSW
• Robert G Fafalak, MD
• Mona Fafarman, L.AC.
• Caitlin Alexandra Fagan, M.S., CCC-SLP, TSSLD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.