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RANDY GARDNER CASAC
NPI 1275780728
Counselor - Addiction (Substance Use Disorder) in Watertown, NY

Active since August 26, 2008
595 W MAIN ST, WATERTOWN, NY 13601(315) 788-1530(315) 788-3794 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Gardner Casac NPPES

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

RANDY GARDNER CASAC (NPI 1275780728) is an individual addiction (substance use disorder) provider in Watertown, New York and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1275780728
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY GARDNERCredential: CASAC
Location Address595 W MAIN STWatertown, NY 13601-1335
Mailing Address595 W Main StWatertown, NY 13601-1335 · (315) 788-1530 · Fax (315) 788-3794
Phone(315) 788-1530
Fax(315) 788-3794
Sole ProprietorNo
Enumeration DateAugust 26, 2008
✔ NPI 1275780728 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
595 W MAIN ST, Watertown, NY 13601
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Other Identifiers 1

Medicaid02921011NY

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.

KIM DOWNEY CASAC
Counselor (Addiction (Substance Use Disorder))
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-4530
MEGAN ANNA O'MEARA LMFT, CASAC-2
Marriage & Family Therapist
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 629-4441
AMY KLEMGARD LPN
Licensed Practical Nurse
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (888) 585-2228
MARISSA LYNN BROWN
Social Worker
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 965-4638
LILA PHILLIPS
Counselor (Addiction (Substance Use Disorder))
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1530
HAYLEY M ALDRICH RN
Registered Nurse
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1530
MS. PATRICIA L DESROSIER LPN
Licensed Practical Nurse
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1530
MS. WHITNEY W WITTER MSW
Counselor (Addiction (Substance Use Disorder))
595 W MAIN ST
WATERTOWN, NY 13601
Jefferson County (315) 788-1530

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 Randy Gardner's NPI number?

The NPI number for Randy Gardner is 1275780728. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Randy Gardner located?

Randy Gardner practices at 595 W Main St, Watertown, NY 13601. The listed phone number is (315) 788-1530.

What is Randy Gardner'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 Randy Gardner was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.