Kathy Randall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22923 Issued in CA

Practice address

15644 Pomerado Rd # 401
Poway, CA 92064-2400

Phone

(858) 674-1289

Fax

(858) 674-9796

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1518112564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920331718",
            "telephone_number": "760-745-5445",
            "fax_number": "760-745-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD # 401",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-674-1289",
            "fax_number": "858-674-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Ramirez
• Karyna Ramirez
• Lynneah Ramirez
• Jessica Ramos
• Cameron Eby Randall
• Madhumitha Rangavanshi
• Kelly Rangel
• David Young Rankin, PHARM.D.
• Soumya G Rao, M.D.
• Erela Katz Rappaport, D.M.D.

• Clinical Social Worker in Poway, CA
• Providers in Poway, 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 Nov 18, 2008; 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.