LUCAS RANDOLPH LLMSW
NPI 1457083974
Social Worker - Clinical in South Lyon, MI

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
127 N LAFAYETTE ST, SOUTH LYON, MI 48178(248) 573-7417 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Lucas Randolph Llmsw NPPES

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

LUCAS RANDOLPH LLMSW (NPI 1457083974) is an individual clinical provider in South Lyon, Michigan, licensed in Michigan (6801120440) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457083974
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLUCAS RANDOLPHCredential: LLMSW
Location Address127 N LAFAYETTE STSouth Lyon, MI 48178-1210
Mailing Address127 N Lafayette StSouth Lyon, MI 48178-1210 · (248) 573-7417
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1457083974 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 MI · 6801120440
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.
127 N LAFAYETTE ST, South Lyon, MI 48178

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lucas Randolph Llmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012422199
PECOS Enrollment IDI20250716003611
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 48178 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Counselor (Addiction (Substance Use Disorder))
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178

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 Lucas Randolph's NPI number?

The NPI number for Lucas Randolph is 1457083974. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Lucas Randolph located?

Lucas Randolph practices at 127 N Lafayette St, South Lyon, MI 48178. The listed phone number is (248) 573-7417.

What is Lucas Randolph's specialty?

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

Is Lucas Randolph enrolled in Medicare?

Yes. Lucas Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lucas Randolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Lucas Randolph 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 Lucas Randolph was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.