Michelle Marie Randolph, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21336 Issued in CA

Practice address

5070 N 6TH St Ste 105
Fresno, CA 93710-7504

Phone

(559) 304-3422

NPI assigned

Mar 20, 2007

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

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.

• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1649395872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E SHAW AVE # 140",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107609",
            "telephone_number": "559-304-3422",
            "fax_number": "559-248-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 N 6TH ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107504",
            "telephone_number": "559-304-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daeja S. Randles
• Lizabeth Randles
• Patrick Donovan Randles
• Cori Randolph
• Latoya Monique Randolph
• Analicia Mia Rangel-Garcia
• Maricela Josefina Rangel-Garcia, MD
• Abner Jose Rangel
• Alma Elena Rangel
• Breanna Nicole Rangel

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, 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 Oct 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.