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MR. RANDY SIDEBOTTOM MICHIGAN SOCIAL WORK
NPI 1811385446
Social Worker in Southgate, MI

Active since January 06, 2015
15431 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 552-6860 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Randy Sidebottom Michigan Social Work NPPES

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

MR. RANDY SIDEBOTTOM MICHIGAN SOCIAL WORK (NPI 1811385446) is an individual social worker in Southgate, Michigan, licensed in Michigan (6802076484) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1811385446
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. RANDY SIDEBOTTOMCredential: MICHIGAN SOCIAL WORK
Location Address15431 DIX TOLEDO RDSouthgate, MI 48195-2662
Mailing Address15431 Dix Toledo RdSouthgate, MI 48195-2662 · (734) 552-6860
Phone(734) 552-6860
Sole ProprietorNo
Enumeration DateJanuary 6, 2015
✔ NPI 1811385446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6802076484
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.
15431 DIX TOLEDO RD, Southgate, MI 48195
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Other Identifiers 1

Other6802076484MI · State Of Michigan Social Workers License

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 Randy Sidebottom's NPI number?

The NPI number for Randy Sidebottom is 1811385446. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Randy Sidebottom located?

Randy Sidebottom practices at 15431 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 552-6860.

What is Randy Sidebottom's specialty?

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

When was this NPI record last updated?

The NPPES record for Randy Sidebottom was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.