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MARIANNA RANDOLPH LCSW
NPI 1609150853
Social Worker - Clinical in South Lake Tahoe, CA

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
924 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 721-7281 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2017, Dec 18, 2016 (2 updates tracked since 2016).

About Marianna Randolph Lcsw NPPES

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

MARIANNA RANDOLPH LCSW (NPI 1609150853) is an individual clinical provider in South Lake Tahoe, California, licensed in California (LCS 24256) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Lake Tahoe, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609150853
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIANNA RANDOLPHCredential: LCSW
Location Address924 EMERALD BAY RDSouth Lake Tahoe, CA 96150-9405
Mailing AddressPo Box 9343South Lake Tahoe, CA 96158-2343
Phone(530) 721-7281
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 6, 2011
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
✔ NPI 1609150853 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 CA · LCS 24256
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.
924 EMERALD BAY RD, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 12100 Eloise AveSouth Lake Tahoe, CA 96150-4306 · Phone (530) 544-1748 · Fax (530) 544-1728

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

Marianna Randolph Lcsw 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 ID9032363767
PECOS Enrollment IDI20130206000052
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
471 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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 $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 2

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

AIMIE N SUTTON LPCC
Counselor (Professional)
924 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 303-8183
MR. KEITH JOHN TANENBAUM LCSW
Social Worker (Clinical)
924 EMERALD BAY RD, FIRST FLOOR
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 782-9889

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 Marianna Randolph's NPI number?

The NPI number for Marianna Randolph is 1609150853. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Marianna Randolph located?

Marianna Randolph practices at 924 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 721-7281.

What is Marianna Randolph's specialty?

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

Is Marianna Randolph enrolled in Medicare?

Yes. Marianna 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.

When was this NPI record last updated?

The NPPES record for Marianna Randolph was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.