RANDALL CARMACK LSW
NPI 1255849758
Social Worker - Clinical in Dayton, OH

Q: What is Randall Carmack's NPI number?

The NPI number for Randall Carmack is 1255849758. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Q: What is Randall Carmack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randall Carmack was last updated on December 10, 2025. 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.

Active since January 18, 2018PECOS Enrolled

1 ELIZABETH PL FL 3, DAYTON, OH 45417(937) 815-6233 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2025, May 3, 2023, Nov 16, 2020 and 1 more (4 updates tracked since 2018).

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About Randall Carmack Lsw NPPES

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

RANDALL CARMACK LSW (NPI 1255849758) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.2507266) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255849758

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameRANDALL CARMACKCredential: LSW

Location Address1 ELIZABETH PL FL 3Dayton, OH 45417-3445

Mailing Address3103 Dixie HwyHamilton, OH 45015-1653 · (513) 892-4673

Phone(937) 815-6233

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 18, 2018

Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1255849758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2507266

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.

Also ListedCounselorTaxonomy 101Y00000X · License LCDCIII.162264 (OH)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 162422 (OH), 162458 (OH)

Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.000660 (OH)

1 ELIZABETH PL FL 3, Dayton, OH 45417

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Carmack Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749768877

PECOS Enrollment IDI20260130001745

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 45417 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 5

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

ANNA STOECKICHT RN

Registered Nurse