PHYLLIS RANDLE LCSW-C
NPI 1376736124
Social Worker - Clinical in Largo, MD

Active since August 24, 2007PECOS Enrolled
1400 MERCANTILE LN, 232, LARGO, MD 20774(301) 583-0001(301) 583-3403 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Randle Lcsw-c NPPES

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

PHYLLIS RANDLE LCSW-C (NPI 1376736124) is an individual clinical provider in Largo, Maryland, licensed in Maryland (09062) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376736124
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS RANDLECredential: LCSW-C
Location Address1400 MERCANTILE LN, 232Largo, MD 20774-5341
Mailing Address1400 Mercantile Ln, 232Largo, MD 20774-5341 · (301) 583-0001 · Fax (301) 583-3403
Fax(301) 583-3403
Sole ProprietorNo
Enumeration DateAugust 24, 2007
NPI 1376736124 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 MD · 09062
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.
1400 MERCANTILE LN, Largo, MD 20774

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phyllis Randle Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20774 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 20

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

Counselor (Professional)
1400 MERCANTILE LN, SUITE 208
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, SUITE 232
LARGO, MD 20774
Dermatology (Procedural Dermatology)
1400 MERCANTILE LN, SUITE 110
LARGO, MD 20774
Clinic/Center (Magnetic Resonance Imaging (MRI))
1400 MERCANTILE LN, #174
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, SUITE 260
LARGO, MD 20774
Occupational Therapist
1400 MERCANTILE LN, 240
LARGO, MD 20774
Day Training, Developmentally Disabled Services
1400 MERCANTILE LN, 212
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, 232
LARGO, MD 20774

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 Phyllis Randle's NPI number?

The NPI number for Phyllis Randle is 1376736124. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Phyllis Randle located?

Phyllis Randle practices at 1400 Mercantile Ln 232, Largo, MD 20774. The listed phone number is (301) 583-0001.

What is Phyllis Randle's specialty?

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

Is Phyllis Randle enrolled in Medicare?

Yes. Phyllis Randle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Randle was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.