Organization Active NPI

Randi M Drake, LLC

  • Clinical Social Worker
  • Forney, TX
National Provider Identifier
1376986729
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52553 Issued in TX
Legal business name
RANDI M DRAKE, LLC
Practice address
300 E Broad St
Forney, TX 75126-9164
Phone
(972) 515-0834
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Randi Michelle Wright, LCSW
Title
Managing Member
Phone
(972) 515-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 52553 TX Primary

Addresses

Primary practice location

300 E Broad St
Forney, TX 75126-9164

Mailing address

PO Box 1987
Forney, TX 75126-1987
Phone (972) 515-0834

National Provider Directory

National Provider Directory

Locations

300 E Broad St
Forney, TX 75126
Phone (972) 515-0834

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1376986729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261987",
            "telephone_number": "972-515-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BROAD ST",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269164",
            "telephone_number": "972-515-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDI M DRAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-515-0834",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.