Christina Leann Randle, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17237 Issued in AZ

Practice address

19668 E Raven Dr
Queen Creek, AZ 85142

Phone

(316) 530-1362

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1891090361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19668 E RAVEN DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428757",
            "telephone_number": "620-481-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19668 E RAVEN DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "316-530-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "CHRISTINA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Quist, LPC
• Melissa Leann Rabe, OD
• Raley'S Arizona LLC
• Ashley Ramos, LMSW
• Sunita Randhawa
• Rapha Psychiatry and Behavioral Health Services LLC
• Ryland Rash, RN
• Adriana Ratzlaff
• Rachelle Rauma, M.S., CCC-SLP
• Kristina Rawlings, RN

• Clinical Social Worker in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.