ERIN MARIE RANDOLPH LMSW
NPI 1720542772
Social Worker in Novi, MI

Q: What is Erin Randolph's NPI number?

The NPI number for Erin Randolph is 1720542772. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Q: What is Erin Randolph's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Randolph was last updated on November 17, 2021. 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.

Active since January 24, 2019PECOS EnrolledAccepts Medicare Assignment

43155 MAIN ST STE 2316, NOVI, MI 48375(734) 673-9522 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2021, Jan 24, 2019 (2 updates tracked since 2019).

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About Erin Marie Randolph Lmsw NPPES

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

ERIN MARIE RANDOLPH LMSW (NPI 1720542772) is an individual social worker in Novi, Michigan, licensed in Michigan (6801096807) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720542772

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameERIN MARIE RANDOLPHCredential: LMSW

Location Address43155 MAIN ST STE 2316Novi, MI 48375-1781

Mailing Address16449 Fairway StLivonia, MI 48154-2111 · (313) 515-2045

Phone(734) 673-9522

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 24, 2019

Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1720542772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801096807

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

43155 MAIN ST STE 2316, Novi, MI 48375

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Erin Marie Randolph Lmsw 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 ID8729327432

PECOS Enrollment IDI20190225000939

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.

Other Providers at the Same Location NPPES 5

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

MANAR THABATA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)