Mr Bryan J Randolph, LICSW is a
Social Worker - Clinical based in Pike, New Hampshire. Mr Bryan J Randolph is licensed to practice in New Hampshire (license number 1894) and his current practice location is
2274 Mount Moosilauke Hwy, Pike, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 989-3500.
NPI number for Mr Bryan J Randolph is 1639536147 and his current mailing address is Po Box 175, Haverhill, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639536147.
Healthcare Provider's Profile
Full Name | Mr Bryan J Randolph |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2274 Mount Moosilauke Hwy, Pike, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639536147
- Provider Enumeration Date: 01/28/2016
- Last Update Date: 01/28/2016
Medical Identifiers
Medical identifiers for Mr Bryan J Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639536147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1894 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bryan J Randolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Bryan J Randolph, LICSW Po Box 175, Haverhill, NH 03765-0175 Ph: (603) 989-3500 | Mr Bryan J Randolph, LICSW 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615 Ph: (603) 989-3500 |
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