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RANDOLPH PAUL ANDERSEN LCSW
NPI 1083095392
Social Worker - Clinical in Wheaton, IL

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
128 S COUNTY FARM RD STE C, WHEATON, IL 60187(630) 447-8818 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Nov 17, 2022, Jul 27, 2021 and 1 more (4 updates tracked since 2019).

About Randolph Paul Andersen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH PAUL ANDERSEN LCSW (NPI 1083095392) is an individual clinical provider in Wheaton, Illinois, licensed in Illinois (149027573) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1083095392
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDOLPH PAUL ANDERSENCredential: LCSW
Location Address128 S COUNTY FARM RD STE CWheaton, IL 60187-2400
Mailing Address128 S County Farm Rd Ste CWheaton, IL 60187-2400 · (630) 447-8818
Phone(630) 447-8818
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 11, 2015
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1083095392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149027573
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
128 S COUNTY FARM RD STE C, Wheaton, IL 60187
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randolph Paul Andersen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628452562
PECOS Enrollment IDI20220826001326, I20220830002321, I20251009003776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MOLLY ALICE RYAN WOLLENWEBER LCSW, CADC
Social Worker (Clinical)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 423-2350
LAURA A SCAMINACI
Social Worker
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
JESSICA K COLTON LCSW
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
SARAH STACKHOUSE TAETZSCH
Counselor (Mental Health)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
CALLIE ASWEGEN
Counselor (Mental Health)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
DAVID S PANAHI LCPC
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
NANCY J KUHLMAN
Social Worker (Clinical)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818
PANAHI COUNSELING, PC
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Dupage County (630) 447-8818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Andersen's NPI number?

The NPI number for Randolph Andersen is 1083095392. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Randolph Andersen located?

Randolph Andersen practices at 128 S County Farm Rd Ste C, Wheaton, IL 60187. The listed phone number is (630) 447-8818.

What is Randolph Andersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Randolph Andersen enrolled in Medicare?

Yes. Randolph Andersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randolph Andersen was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.