Individual provider Active NPI

Monique Randle, LCSW, CST

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1396941282
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5364-C Issued in AR
Practice address
513 Main St
North Little Rock, AR 72114-5329
Phone
(501) 777-5969
Fax
(501) 379-9791
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110236 TX
Clinical Social Worker 1041C0700X 5364-C AR Primary

Addresses

Primary practice location

513 Main St
North Little Rock, AR 72114-5329

Mailing address

1200 Roosevelt St
Malvern, AR 72104-5550
Phone (501) 458-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170811001221 AR Practitioner - Clinical Social Worker 8325319122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5364-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wellness Connection Clinical CurrentSince Mar 20, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
McCoy Counseling LLC CurrentSince Mar 6, 2022 Accepting new patients
Collaborative Counseling Associates, PLLC PastSince Dec 6, 2020 Accepting new patients

Locations

11215 Hermitage Rd
Ste 204
Little Rock, AR 72211
Phone (501) 725-8000

Interoperability endpoints

  • Direct secure messaging: moniquerandle@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1396941282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROOSEVELT ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045550",
            "telephone_number": "501-458-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145329",
            "telephone_number": "501-777-5969",
            "fax_number": "501-379-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110236",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5364-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.