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ERIN LYNN RANDOLPH LCSW
NPI 1194676981
Social Worker - Clinical in Varna, IL

Active since February 06, 2026PECOS Enrolled
657 ROLLINGWOOD PL, VARNA, IL 61375(630) 687-2399 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erin Lynn Randolph Lcsw NPPES

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

ERIN LYNN RANDOLPH LCSW (NPI 1194676981) is an individual clinical provider in Varna, Illinois, licensed in Illinois (149029257) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194676981
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERIN LYNN RANDOLPHCredential: LCSW
Location Address657 ROLLINGWOOD PLVarna, IL 61375-9545
Mailing Address657 Rollingwood Pl, Po Box 71Varna, IL 61375
Phone(630) 687-2399
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1194676981 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 · 149029257
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.
657 ROLLINGWOOD PL, Varna, IL 61375
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Lynn Randolph Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284117508
PECOS Enrollment IDI20260313002888
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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
105 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61375 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Erin Randolph's NPI number?

The NPI number for Erin Randolph is 1194676981. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Erin Randolph located?

Erin Randolph practices at 657 Rollingwood Pl, Varna, IL 61375. The listed phone number is (630) 687-2399.

What is Erin Randolph's specialty?

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

Is Erin Randolph enrolled in Medicare?

Yes. Erin Randolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erin Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Randolph reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erin Randolph was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.