Peggy Ann Randolph, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25116 Issued in CA

Practice address

7881 Newman Ave
#C
Huntington Beach, CA 92647-6829

Phone

(714) 334-6541

Fax

(714) 334-6541

NPI assigned

Aug 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Darrell Broaddus Psychological Services PC

  • Clinical Psychologist
  • Orangevale, CA
  • NPI 1215339650
  NPD (past)
• Paradigm Health Services, Inc

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1578519146

  Clinical

  NPD (past)
• Parkwest Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1154303162
  NPD (past)
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)
• Parkwest Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maryville, TN
  • NPI 1699757609
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1427289503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 NEWMAN AVE",
            "address_2": "#C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476829",
            "telephone_number": "714-334-6541",
            "fax_number": "714-334-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 NEWMAN AVE",
            "address_2": "#C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476829",
            "telephone_number": "714-334-6541",
            "fax_number": "714-334-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25116",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "003194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Michelle Ramsey, LMFT
• Rodney Nathan Ranaei, D.O.
• Lana Ranch
• Carolyn Randolph
• Nicholas Ryan Randolph, D.C
• Rankin Psychological, Inc.
• Abygail Ranoa
• Detra Letitla Ransom
• Zhanna Rapoport MD, M.D.
• Nicholas Kevin Rapoza

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.