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MS. LEAH SUSAN RANDOLPH LADC I, MM
NPI 1194034835
Counselor - Addiction (Substance Use Disorder) in Dorchester, MA

Active since September 29, 2010
21 WAUMBECK ST, DORCHESTER, MA 02121(617) 291-3623 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Leah Susan Randolph Ladc I, Mm NPPES

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

MS. LEAH SUSAN RANDOLPH LADC I, MM (NPI 1194034835) is an individual addiction (substance use disorder) provider in Dorchester, Massachusetts and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1194034835
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LEAH SUSAN RANDOLPHCredential: LADC I, MM
Location Address21 WAUMBECK STDorchester, MA 02121-1220
Mailing Address21 Waumbeck StDorchester, MA 02121-1220 · (617) 291-3623
Phone(617) 291-3623
Sole ProprietorYes
Enumeration DateSeptember 29, 2010
✔ NPI 1194034835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
21 WAUMBECK ST, Dorchester, MA 02121
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Other Providers at the Same Location NPPES 2

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

THOMIKA MARIE BRIDWELL-PAUL
Counselor
21 WAUMBECK ST, APT 2
DORCHESTER, MA 02121
Suffolk County (617) 388-3307
TALEAH EVELYNE BRIDWELL
Counselor
21 WAUMBECK ST, APT #2
DORCHESTER, MA 02121
Suffolk County (617) 905-7096

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 Leah Randolph's NPI number?

The NPI number for Leah Randolph is 1194034835. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Leah Randolph located?

Leah Randolph practices at 21 Waumbeck St, Dorchester, MA 02121. The listed phone number is (617) 291-3623.

What is Leah Randolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Leah Randolph was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.