John Wilson Randall Jr., S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1720C Issued in AL

Practice address

210 Postwood CT
Madison, AL 35758-6620

Phone

(256) 520-5804

NPI assigned

Aug 11, 2013

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• A & B Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1508327628
  NPD
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  NPD
• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)

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

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1508299819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 N DIXIE HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053829",
            "telephone_number": "256-520-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POSTWOOD CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586620",
            "telephone_number": "256-520-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JOHN",
        "middle_name": "WILSON",
        "name_suffix": "Jr.",
        "credential": "S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-11",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1720C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ragone, DC
• Rainbow Family Medicine
• Katherine B Rainwater, L. P. C.
• Paul Edward Rainwater, M.R.E., M.ED., LPC
• Yalitzaly Ramos
• Christopher J Rankin, MD
• Victoria T. Rapazzo
• Ahna Denete Ravan, LPC
• Raven Heart, LLC
• Gena Rawdon

• Clinical Social Worker in Madison, AL
• Providers in Madison, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.

Verify at the official NPI Registry.