RANDALL BRUCE MINTEER LCSW-C
NPI 1962809889
Social Worker - Clinical in Stevensville, MD

Active since November 20, 2014PECOS Enrolled
101 LOG CANOE CIR STE F, STEVENSVILLE, MD 21666(443) 775-0126 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2019, Jun 1, 2017, May 23, 2017 and 1 more (4 updates tracked since 2017).

About Randall Bruce Minteer Lcsw-c NPPES

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

RANDALL BRUCE MINTEER LCSW-C (NPI 1962809889) is an individual clinical provider in Stevensville, Maryland, licensed in Maryland (20221) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962809889
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDALL BRUCE MINTEERCredential: LCSW-C
Location Address101 LOG CANOE CIR STE FStevensville, MD 21666-2106
Mailing Address101 Log Canoe Cir Ste FStevensville, MD 21666-2106 · (443) 775-0126
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 20, 2014
Last NPPES UpdateOctober 8, 20194 updates tracked since enumeration
NPI 1962809889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 20221
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 20221 (MD)
101 LOG CANOE CIR STE F, Stevensville, MD 21666

Other Identifiers 6

Other259147-000MD · Magellan Behavioral Health
Other346646MD · Mhn/tricare
Medicaid609550002MD
Other7840093MD · Aetna
Other522156095MD · Commercial
OtherR968MD · Carefirst Bcbs Of Maryland

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Randall Bruce Minteer Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355618331
PECOS Enrollment IDI20170523000207
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 21666 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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

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

Social Worker (Clinical)
101 LOG CANOE CIR STE F
STEVENSVILLE, MD 21666

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 Randall Minteer's NPI number?

The NPI number for Randall Minteer is 1962809889. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Randall Minteer located?

Randall Minteer practices at 101 Log Canoe Cir Ste F, Stevensville, MD 21666. The listed phone number is (443) 775-0126.

What is Randall Minteer's specialty?

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

Is Randall Minteer enrolled in Medicare?

Yes. Randall Minteer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Minteer was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.