Randi Lee Woodruff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66815 Issued in TX

Practice address

2701 Shoreline Dr
Denton, TX 76210-0174

Phone

(940) 222-2399

NPI assigned

Sep 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beyond the Gray Sky LLC

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1780976076
  NPD (past)
• Connections Wellness Group

  • Mental Health Counselor
  • Plano, TX
  • NPI 1003398421
  NPD (past)
• Pursuit of Happiness Healthcare LLC

  • Clinic/Center
  • Arlington, TX
  • NPI 1861158677
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1689344632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SHORELINE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100174",
            "telephone_number": "940-222-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHORELINE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100174",
            "telephone_number": "940-222-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Covemeadow Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760125407",
            "country_code": "US",
            "telephone_number": "972-836-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "RANDI",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Womack, MOT/L
• Nhan Gia-Chau Wong, P.A.
• Linda S Wood, R.D.,L.D.,C.D.E.
• Lucy Parks Wood
• Elizabeth A Woodall, AGACNP-BC, FNP-C
• Kathy Q. Woods, M.S.
• Tyler Woods
• Elizabeth Woody
• Mae Elizabeth Works, L.P.C.
• Worthy Counseling PLLC

• Clinical Social Worker in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.