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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE RANDALL
NPI 1609789957
Case Manager/Care Coordinator in Waldorf, MD

Active since September 28, 2026
2670 CRAIN HWY STE 405, WALDORF, MD 20601(301) 363-4900 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicole Randall NPPES

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

NICOLE RANDALL (NPI 1609789957) is an individual case manager/care coordinator provider in Waldorf, Maryland and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1609789957
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNICOLE RANDALL
Location Address2670 CRAIN HWY STE 405Waldorf, MD 20601-2818
Mailing Address2670 Crain Hwy Ste 405Waldorf, MD 20601-2818 · (301) 363-4900
Phone(301) 363-4900
Sole ProprietorYes
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 27, 2026
✔ NPI 1609789957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2670 CRAIN HWY STE 405, Waldorf, MD 20601
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Other Providers at the Same Location NPPES 8

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

JAHSELYN JONES
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
ENOVED CO
Community/Behavioral Health
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
ENOVED CO
Community/Behavioral Health
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
JUSTIN PHILLIP
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 203-6349
ENOVED CO
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
JANICE YVONNE DRAKEFORD
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
MARIA COLEMAN DDA-20
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900
MR. NICHOLAS AARON ULLMANN
Case Manager/Care Coordinator
2670 CRAIN HWY STE 405
WALDORF, MD 20601
Charles County (301) 363-4900

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 1609789957. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Nicole Randall located?

Nicole Randall practices at 2670 Crain Hwy Ste 405, Waldorf, MD 20601. The listed phone number is (301) 363-4900.

What is Nicole Randall's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicole Randall was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.