Active NPI
Randi Necole Senciboy, LMSW, MAADC II
- Clinical Social Worker
- Cape Girardeau, MO
National Provider Identifier
1528533643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018031768
- Practice address
- 619 N Broadview St
Cape Girardeau, MO 63701-4313 - Phone
- (573) 334-3496
- NPI assigned
- Oct 4, 2018
- 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 | 2018031768 | MO | Primary |
Addresses
Primary practice location
619 N Broadview St
Cape Girardeau, MO 63701-4313
Mailing address
PO Box 5
Perkins, MO 63774-0005
Phone (618) 806-3912
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 |
|---|---|---|---|
| 2018031768 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1528533643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "PERKINS",
"state": "MO",
"postal_code": "637740005",
"telephone_number": "618-806-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014313",
"telephone_number": "573-334-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENCIBOY",
"first_name": "RANDI",
"middle_name": "NECOLE",
"credential": "LMSW, MAADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018031768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Semo Alliance for Disability Independence, Inc.
- Semo Alliance for Disability Independence, Inc.
- Semo Medical Equipment LLC
- Semo Otolaryngology Head & Neck Surgery Inc
- Semo Quality Sleep Lab LLC
- Frederick Joseph Severs Jr., M.D.
- Clare M Seyer, PTA
- Kia Marissa Seyer, FNP
- Kristen Renee Seyer, FNP-C
- Nathan Thomas Seyer, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.