Nicole Randazzo

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114618 Issued in NY

Practice address

28 N Country Rd
Mount Sinai, NY 11766-1518

Phone

(888) 975-2256

NPI assigned

Dec 31, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Calm Seas Psychotherapy, LCSW,PLLC

  • Clinical Social Worker
  • Mt Sinai, NY
  • NPI 1790247765

  Single Specialty

  NPD

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1649931700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD STE 203",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661518",
            "telephone_number": "607-930-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661518",
            "telephone_number": "888-975-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicole@calmseapsyc.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "28 N Country Rd",
            "city": "Mount Sinai",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117661518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Quinn
• Yenmy Quintana, NP
• Anthony Thomas Quitoni, D.M.D.
• Alfred Raciti, M.D.
• Radiance Acupuncture
• Raquel Bouton
• Leanne Raynor, TEACHER OF SWD
• Scott Re', L.AC
• Kevin M Reilly, D.D.S.
• Michelle Lynne Reynolds, M.S. ED

• Social Worker in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.