Individual provider Active NPI

Randye Masel, LCSW

  • Social Worker
  • Cranford, NJ
National Provider Identifier
1740564491
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05424500 Issued in NJ
Practice address
300 North Ave E
Cranford, NJ 07016-2435
Phone
(908) 276-2244
Fax
(908) 931-0304
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05424500 NJ Primary

Addresses

Primary practice location

300 North Ave E
Cranford, NJ 07016-2435

Mailing address

300 North Ave E
Cranford, NJ 07016-2435
Phone (908) 276-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20170616000440 NJ Practitioner - Clinical Social Worker 4284902214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC Social Worker CurrentSince Jan 1, 2020 Accepting new patients
Embrace Psychiatric Wellness Center PastSince Aug 3, 2020 Accepting new patients

Locations

300 North Ave E
Cranford, NJ 07016
Phone (908) 276-2244

300 North Ave E
Ste 2
Cranford, NJ 07016

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1740564491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162435",
            "telephone_number": "908-276-2244",
            "fax_number": "908-931-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162435",
            "telephone_number": "908-276-2244",
            "fax_number": "908-931-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEL",
        "first_name": "RANDYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05424500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.