RANDALL BRUCE MINTEER LCSW-C
NPI 1962809889
Social Worker - Clinical in Stevensville, MD
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
Specialties & Licenses 2
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall Bruce Minteer Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randall Minteer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10013
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: New York Medical Behavioral Health Services PC
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Randall Minteer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Minteer reassigns Medicare benefits to New York Medical Behavioral Health Services, P.C. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Minteer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Randall Bruce Minteer, LCSW-C · NPI 1962809889
Clinical provider in Stevensville, Maryland. Individual provider, active in the CMS NPPES registry since November 20, 2014.
## Identity
- **NPI:** 1962809889 (Entity type: Individual)
- **Enumerated:** November 20, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 20221 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 LOG CANOE CIR STE F, Stevensville, MD 21666-2106
- **Phone:** (443) 775-0126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New York Medical Behavioral Health Services, P.C. (NPI 1235600834, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 8, 2019
- **Other identifiers:** Other 259147-000 (MD); Other 346646 (MD); Medicaid 609550002 (MD); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1962809889) · Data from the CMS NPPES public registry.