Individual provider Active NPI

Randi Nathenson, LISW

  • Clinical Social Worker
  • Highland Heights, OH
National Provider Identifier
1477719482
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0031534 Issued in OH
Practice address
6151 Wilson Mills Rd Ste 305
Highland Heights, OH 44143-2128
Phone
(440) 482-6573
Fax
(440) 482-6574
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0031534 OH Primary

Addresses

Primary practice location

6151 Wilson Mills Rd Ste 305
Highland Heights, OH 44143-2128

Mailing address

6151 Wilson Mills Rd Ste 305
Highland Heights, OH 44143-2128
Phone (440) 482-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091204000318 OH Practitioner - Clinical Social Worker 7719026715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6151 Wilson Mills Rd
Suite 305
Highland Heights, OH 44143-2128
Phone (440) 482-6573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0031534OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RGN Counseling LLC Clinical CurrentSince Jan 1, 2018 Accepting new patients
KLS Counseling LLC Past Accepting new patients

Locations

6151 Wilson Mills Rd
Ste 305
Highland Heights, OH 44143
Phone (216) 973-9775

5564 Wilson Mills Rd
Ste 201
Highland Hgts, OH 44143
Phone (440) 461-1255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1477719482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 WILSON MILLS RD STE 305",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432128",
            "telephone_number": "440-482-6573",
            "fax_number": "440-482-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 WILSON MILLS RD STE 305",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432128",
            "telephone_number": "440-482-6573",
            "fax_number": "440-482-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHENSON",
        "first_name": "RANDI",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0031534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

Verify at the official NPI Registry.