RANDALL EDWARD LEE LISW
NPI 1902211097
Social Worker - Clinical in Fairfield, OH

Q: What is Randall Lee's NPI number?

The NPI number for Randall Lee is 1902211097. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Q: What is Randall Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randall Lee was last updated on July 21, 2022. 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 June 26, 2014PECOS EnrolledAccepts Medicare Assignment

1251 NILLES RD STE 5, FAIRFIELD, OH 45014(513) 939-0300(513) 939-0310 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 5, 2017, May 24, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Randall Edward Lee Lisw NPPES

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

RANDALL EDWARD LEE LISW (NPI 1902211097) is an individual clinical provider in Fairfield, Ohio, licensed in Ohio (I1600159) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902211097

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameRANDALL EDWARD LEECredential: LISW

Location Address1251 NILLES RD STE 5Fairfield, OH 45014-7205

Mailing Address1251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · (513) 939-0300 · Fax (513) 939-0310

Phone(513) 939-0300

Fax(513) 939-0310

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 26, 2014

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1902211097 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 OH · I1600159

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.

1251 NILLES RD STE 5, Fairfield, OH 45014

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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

Randall Edward Lee Lisw 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 ID4183906969

PECOS Enrollment IDI20170201000157

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 45014 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

MS. JESSICA CARAS LPC

Counselor (Professional)