Paula Brawn Randant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149001220 Issued in IL

Practice address

119 S Emerson St # 203
Mount Prospect, IL 60056-3219

Phone

(847) 922-7862

NPI assigned

Dec 1, 2006

Last updated

Sep 13, 2021By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1922176619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 TURNBULL ESTATES DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321685454",
            "telephone_number": "847-922-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S EMERSON ST # 203",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563219",
            "telephone_number": "847-922-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 Turnbull Estates Dr",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321685454",
            "country_code": "US",
            "telephone_number": "847-922-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDANT",
        "first_name": "PAULA",
        "middle_name": "BRAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "088324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01608456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayab Qureshi, MD
• Anne C Rabin
• Zaid Mustafa Rafati, DC
• Rainbow Hospice and Palliative Care
• Susan Wahl Raine, PT
• Randhurst Dental P.C.
• Randhurst Medical SC
• Aleksandra Raykher, M.D.
• Misbah Razvi
• Rci (WRS) Inc. (NovaCare Rehabilitation)

• Clinical Social Worker in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.