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MS. MICHELLE MARIE RANDOLPH LCSW
NPI 1649395872
Social Worker - Clinical in Fresno, CA

Active since March 20, 2007PECOS Enrolled
5070 N 6TH ST STE 105, FRESNO, CA 93710(559) 304-3422 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, Sep 10, 2020 (2 updates tracked since 2020).

About Ms. Michelle Marie Randolph Lcsw NPPES

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

MS. MICHELLE MARIE RANDOLPH LCSW (NPI 1649395872) is an individual clinical provider in Fresno, California, licensed in California (21336) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649395872
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MICHELLE MARIE RANDOLPHCredential: LCSW
Location Address5070 N 6TH ST STE 105Fresno, CA 93710-7504
Mailing Address373 E Shaw Ave # 140Fresno, CA 93710-7609 · (559) 304-3422 · Fax (559) 248-9779
Phone(559) 304-3422
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 20, 2007
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1649395872 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 · 21336
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.
5070 N 6TH ST STE 105, Fresno, CA 93710
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Michelle Marie Randolph Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022919083
PECOS Enrollment IDI20040114000378
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 93710 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

MRS. JOHANNA VANESSA COOKE LCSW
Social Worker (Clinical)
5070 N 6TH ST STE 105
FRESNO, CA 93710
Fresno County (559) 202-3942
KA BAO VANG
Marriage & Family Therapist
5070 N 6TH ST STE 105
FRESNO, CA 93710
Fresno County (559) 301-3833

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 Michelle Randolph's NPI number?

The NPI number for Michelle Randolph is 1649395872. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Michelle Randolph located?

Michelle Randolph practices at 5070 N 6th St Ste 105, Fresno, CA 93710. The listed phone number is (559) 304-3422.

What is Michelle Randolph's specialty?

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

Is Michelle Randolph enrolled in Medicare?

Yes. Michelle Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Randolph was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.