Claudia Leticia Randolph, LCSW

Individual provider Active NPI Clinical Social Worker · Cedar Crest, NM

NPI 1982164026 · NPPES record last updated Aug 19, 2026

Key facts

NPI
1982164026
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-08063 (NM)
Practice address
9 Everest CT
Cedar Crest, NM 87008-9703
Phone
(505) 328-0687
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C-08063NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08063 NM Yes

Addresses

Primary practice location

9 Everest CT
Cedar Crest, NM 87008-9703

Mailing address

9 Everest CT
Cedar Crest, NM 87008-9703
Phone (505) 328-0687

Other providers in Cedar Crest, NM

All providers in Cedar Crest, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.