Randy Robert Radd, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05310500 Issued in NJ

Practice address

4499 Route 27
2ND Floor, Suite 1
Kingston, NJ 08528-9600

Phone

(732) 735-3558

Fax

(732) 823-6050

NPI assigned

Apr 29, 2010

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radd Behavioral Health LLC

  • Social Worker
  • Princeton, NJ
  • NPI 1679166516
  NPD Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1427375559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 ROUTE 27",
            "address_2": "2ND FLOOR, SUITE 1",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085289600",
            "telephone_number": "732-735-3558",
            "fax_number": "732-823-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 ROUTE 27",
            "address_2": "2ND FLOOR, SUITE 1",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085289600",
            "telephone_number": "732-735-3558",
            "fax_number": "732-823-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADD",
        "first_name": "RANDY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingston Implant and Smiles LLC
• Clifford M Koblin, LPC, LCADC
• Julia Little, L.S.W.
• Suzanne Lorant, LCSW
• James L Mastrich Jr., ED.D.
• Todd E Stevens, D.P.M.
• Sandeep Teotia, D.M.D
• Shawn Tepper-Levine, D.O.
• David Philip Young, D.M.D.

• Clinical Social Worker in Kingston, NJ
• Providers in Kingston, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.