Active NPI
Randy Mason, LCSW
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1427420686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73-079717
- Practice address
- 122 Dana Avenue
Suite 22
Albany, NY 12208 - Phone
- (212) 726-2964
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73-079717 | NY | Primary |
Addresses
Primary practice location
122 Dana Avenue
Suite 22
Albany, NY 12208
Mailing address
122 Dana Avenue
Suite 22
Albany, NY 12208
Phone (212) 726-2964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73-079717 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1427420686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 DANA AVENUE",
"address_2": "SUITE 22",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "212-726-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 DANA AVENUE",
"address_2": "SUITE 22",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "212-726-2964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "RANDY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73-079717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.