Active NPI
Monique Randle, LCSW, CST
- Clinical Social Worker
- North Little Rock, AR
National Provider Identifier
1396941282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5364-C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170811001221 | AR | Practitioner - Clinical Social Worker | 8325319122 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5364-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Wellness Connection | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| McCoy Counseling LLC | Current | Accepting new patients | |
| Collaborative Counseling Associates, PLLC | Past | Accepting new patients |
Locations
11215 Hermitage Rd
Ste 204
Little Rock, AR 72211
Phone (501) 725-8000
Interoperability endpoints
- 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.
-
- Counselor
- North Little Rock, AR
- NPI 1538655006
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Little Rock, AR
- NPI 1922534882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.