Randy Lee Shusman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904007117 Issued in VA

Practice address

12124 Garden Ridge LN Unit 201
Fairfax, VA 22030-9026

Phone

(703) 909-0820

NPI assigned

Jan 23, 2013

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1811235047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 GARDEN RIDGE LN UNIT 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 GARDEN RIDGE LN UNIT 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220309026",
            "telephone_number": "703-909-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSMAN",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riya Shrestha
• Suchana Shrestha
• Mary Shuffleton, LPC
• Marla L Shuman, M.D.
• Khalid Mahdi Shumburo, M.D.
• Amelia Shuster
• Siavash Sobhani M.D. P.C.
• Hassan Sibay, M.D.
• David Paul Sibley, D.D.S.
• Gregory S Sibley, M.D.

• Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.