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NICOLE RENE RANDALL
NPI 1275078024
Social Worker - Clinical in Portland, OR

Active since January 04, 2017
14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2024, Sep 6, 2018, Jan 4, 2017 (3 updates tracked since 2017).

About Nicole Rene Randall NPPES

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

NICOLE RENE RANDALL (NPI 1275078024) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A15312) and active in the NPI registry since January 2017. She maintains a secondary practice location in Novi.

NPPES Registry Identity

NPI1275078024
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE RENE RANDALL
Location Address14600 NW CORNELL RDPortland, OR 97229
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581
Phone(503) 645-3581
Sole ProprietorNo
Enumeration DateJanuary 4, 2017
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1275078024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · A15312
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedTechnician, OtherTaxonomy 247200000X
14600 NW CORNELL RD, Portland, OR 97229
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Secondary Practice Location 1

Location 141521 W 11 Mile RdNovi, MI 48375-1803 · Phone (248) 299-0030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

MS. LUCRECIA FARIAS
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. SANDRA GAIL BUMPUS MSW
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-2545
MEGAN MARSHALL MA, LPCI
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. DEBORAH CHRISTINE CASE
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
ABRAHAN VEGA QMHP
Counselor
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
RADIANCE ANN SCHROETER
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JAMES GURULE LPC
Counselor (Professional)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JENNIFER LYNN KELLY MA
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581

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 Nicole Randall's NPI number?

The NPI number for Nicole Randall is 1275078024. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Nicole Randall located?

Nicole Randall practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.

What is Nicole Randall's specialty?

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

What insurance does Nicole Randall accept?

Health plans from Moda Health Plan, Inc. list Nicole Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Randall was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.