Kristy Randall, LCSW is a
Social Worker - Clinical based in Oceanside, California. Kristy Randall is licensed to practice in California (license number LCSW83419) and her current practice location is
3605 Vista Way, Suite 258, Oceanside, California. She can be reached at her office (for appointments etc.) via phone at
(760) 758-1480.
NPI number for Kristy Randall is 1699168872 and her current mailing address is 3605 Vista Way, Suite 258, Oceanside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699168872.
Healthcare Provider's Profile
| Full Name | Kristy Randall |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 3605 Vista Way, Oceanside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699168872
- Provider Enumeration Date: 03/11/2015
- Last Update Date: 06/27/2018
Medical Identifiers
Medical identifiers for Kristy Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699168872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | ASW64767 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW83419 (California) | 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. Kristy Randall 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 |
|---|
Kristy Randall, LCSW
3605 Vista Way, Suite 258,
Oceanside, CA 92056-4565
Ph: (760) 758-1480 | Kristy Randall, LCSW
3605 Vista Way, Suite 258,
Oceanside, CA 92056
Ph: (760) 758-1480 |
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