Sheila Randall, LMSWCC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

MC6096 Issued in ME

Practice address

1066 Kenduskeag Ave
Bangor, ME 04401-2914

Phone

(207) 941-2855

Fax

(207) 941-2835

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598881047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RUTLAND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014552",
            "telephone_number": "207-947-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 KENDUSKEAG AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012914",
            "telephone_number": "207-941-2855",
            "fax_number": "207-941-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "SHEILA",
        "credential": "LMSWCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "ME",
            "license": "MC6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shubha Vanessa Yvonne Raju, M.B.B.S., M.H.S.
• Joel Palmer Ramey
• Sazha Alexandra Ramos
• Craig Bradford Rand
• Destiny Rand, MS OTR/L
• Martha Mary S. Ranger, LCPC
• Max L Rannie, MD
• Sabita M Rao, DMD
• Taylor Rapaport, LCSW
• Naraharisetty Anita Rau, MD

• Home Modifications Contractor in Bangor, ME
• Providers in Bangor, ME by specialty
• Home Modifications Contractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.