Individual provider Active NPI

Alicia Freeman Randall, LCSW

  • Clinical Social Worker
  • Woodville, MS
National Provider Identifier
1548660954
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6005 Issued in MS
Practice address
2045 Hwy 24 East
Woodville, MS 39669
Phone
(601) 334-0237
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 C6005 MS Primary

Addresses

Primary practice location

2045 Hwy 24 East
Woodville, MS 39669

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 888-3421

Other practice location 1

451 Bank St
Woodville, MS 39669-6000
Phone (601) 888-3421

Other practice location 2

434 N Captain Gloster Dr
Gloster, MS 39638-3401
Phone (601) 225-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170914000672 MS Practitioner - Clinical Social Worker 6901170901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

451 Bank St
Woodville, MS 39669-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital Current Accepting new patients
Field Memorial Community Hospital CurrentSince Jun 22, 2017 Accepting new patients
Field Memorial Community Hospital CurrentSince Jun 22, 2017 Accepting new patients

Locations

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711

451 Bank St
Woodville, MS 39669
Phone (601) 888-3421

Interoperability endpoints

  • Direct secure messaging: alicia.randall.2@1773.direct.athenahealth.com
  • Direct secure messaging: alicia.randall.1@1773.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1548660954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-888-3421",
            "fax_number": "601-888-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 HWY 24 EAST",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "39669",
            "telephone_number": "601-334-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Bank St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "MS",
            "postal_code": "396696000",
            "country_code": "US",
            "telephone_number": "601-888-3421",
            "fax_number": "601-888-3685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "434 N Captain Gloster Dr",
            "address_purpose": "LOCATION",
            "city": "Gloster",
            "state": "MS",
            "postal_code": "396383401",
            "country_code": "US",
            "telephone_number": "601-225-4711",
            "fax_number": "601-225-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ALICIA",
        "middle_name": "FREEMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, MS

Sources for this page

Verify at the official NPI Registry.