Denielle Randall, LGSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20104 Issued in MD

Practice address

702 N Howard St
Baltimore, MD 21201-4641

Phone

(443) 773-5624

NPI assigned

Feb 1, 2017

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

Enrolled in MD

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

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.

• Reclaiming Our Children and Community Project Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1598025835
  Medicare reassignment NPD
• Elevate Together LLC

  • Clinical Social Worker
  • Randallstown, MD
  • NPI 1457956971
  NPD Authorized official

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1760920482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014641",
            "telephone_number": "443-773-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014641",
            "telephone_number": "443-773-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "DENIELLE",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "20104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S. Rand, P.A.
• Randall Therapeutic Services LLC
• Randall Therapeutic Services LLC
• Aniyra Randall
• Crystal Marie Randall, CRNP
• Elizabeth Ann Randall, CPHT, PRS
• Emily Lauren Randall, CRNA
• George Randall Jr., PHD
• Harry Randall, M.D.
• Jared D Randall

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.