Active NPI
Cynthia Louise Randolph, LCSW
- Clinical Social Worker
- Guilford, CT
National Provider Identifier
1700116597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4428
- Practice address
- 35 Clear Lake Rd
Guilford, CT 06437-1440 - Phone
- (860) 759-0400
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4428 | CT | Primary |
Addresses
Primary practice location
35 Clear Lake Rd
Guilford, CT 06437-1440
Mailing address
79 Midland Dr
Colchester, CT 06415-1320
Phone (860) 759-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1700116597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MIDLAND DR",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151320",
"telephone_number": "860-759-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CLEAR LAKE RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064371440",
"telephone_number": "860-759-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "CYNTHIA",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "4428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.