MR. BRYAN J RANDOLPH LICSW
NPI 1639536147
Social Worker - Clinical in Pike, NH

Active since January 28, 2016
2274 MOUNT MOOSILAUKE HWY, PIKE, NH 03780(603) 989-3500 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bryan J Randolph Licsw NPPES

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

MR. BRYAN J RANDOLPH LICSW (NPI 1639536147) is an individual clinical provider in Pike, New Hampshire, licensed in New Hampshire (1894) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1639536147
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRYAN J RANDOLPHCredential: LICSW
Location Address2274 MOUNT MOOSILAUKE HWYPike, NH 03780-5615
Mailing AddressPo Box 175Haverhill, NH 03765-0175 · (603) 989-3500
Sole ProprietorNo
Enumeration DateJanuary 28, 2016
NPI 1639536147 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 NH · 1894
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.
2274 MOUNT MOOSILAUKE HWY, Pike, NH 03780

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
2274 MOUNT MOOSILAUKE HWY
PIKE, NH 03780

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 Bryan Randolph's NPI number?

The NPI number for Bryan Randolph is 1639536147. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Bryan Randolph located?

Bryan Randolph practices at 2274 Mount Moosilauke Hwy, Pike, NH 03780. The listed phone number is (603) 989-3500.

What is Bryan Randolph's specialty?

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

What insurance does Bryan Randolph accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Bryan 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 Bryan Randolph was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.