Deborah A Randazzo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006231A Issued in IN

Practice address

720 N Marr Rd
Columbus, IN 47201-6660

Phone

(812) 314-3400

Fax

(812) 378-8367

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah A Crissman Former name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baume Psychological Services, P.C.Group PAC ID 2466699822, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Baume Psychological Services, P.C.

  • Clinical Psychologist
  • Carmel, IN
  • NPI 1811246507
  Medicare reassignment Care Compare group NPD
• Renewal, LLC

  • Marriage & Family Therapist
  • Carmel, IN
  • NPI 1023356177
  Medicare reassignment
• Emerald Neuro-Recover

  • Family Medicine Physician
  • Carmel, IN
  • NPI 1508334814
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1750504205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691",
            "fax_number": "812-337-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MARR RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016660",
            "telephone_number": "812-314-3400",
            "fax_number": "812-378-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CRISSMAN",
            "middle_name": "A",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawna Joyce Rafferty, C.O.T.A.
• Sivagama Valli Ramasundaram, M.D.,
• Akhila Ramayapally
• Sophie M Rambo, PA-C
• Arpita Vishal Rami, PTA
• Matthew Daniel Raskin, DDS
• Marquita Revea Ratliff
• Sophia Ratliff
• David Rau, MD
• Jennifer P. Rauch, COTA

• Clinical Social Worker in Columbus, IN
• Providers in Columbus, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.