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Randolph Paul Andersen , LCSW

Social Worker - Clinical β€’ Wheaton, IL

Active NPI 1083095392 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

128 S County Farm Rd Ste C
Wheaton, IL 601872400

Call 6304478818 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

128 S County Farm Rd Ste C

Wheaton, IL 601872400

Telephone 6304478818
Organization at the Same NPPES Address or Phone
Panahi Counseling, Pc Facility NPI 1760069751

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Psychiatry Of Texas Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1984

Years since graduation

42 years (graduated 1984)

CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Randolph Andersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Randolph Andersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wheaton and Illinois

131 active clinicians are listed under Social Worker - Clinical with a practice address in Wheaton, IL (13,643 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wheaton

10.7% of these 131 clinicians have the CMS telehealth indicator.

19.8% of these 131 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES IL 149027573

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20251009003776

Enrollment State Jurisdiction

IL

PECOS Control ID

8628452562

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Psychiatry Of Texas Pllc

5446 N Academy Blvd, Colorado Springs, CO 809183668

Phone: 8328694818

Psychiatry Of Texas Pllc

7877 Willow Chase Blvd, Houston, TX 770705934

Phone: 8328694818235

Psychiatry Of Texas Pllc

14484 John Humphrey Dr, Orland Park, IL 604622638

Phone: 8328694818235

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location September 05, 2024

Registered at 128 S COUNTY FARM RD STE C, WHEATON, IL 601872400 (Tel: 6304478818)

πŸ“
Updated Business Mailing Address September 05, 2024

Registered at 128 S COUNTY FARM RD STE C, WHEATON, IL 601872400 (Tel: 6304478818)

πŸ‘€
Provider Name / Credentials Updated September 05, 2024

Recorded as RANDOLPH ANDERSEN, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2024

Social Worker (license number reported to NPPES: IL 149027573)

πŸ“
Updated Practice Location November 17, 2022

Registered at 4371 E 72ND AVE, COMMERCE CITY, CO 800221471 (Tel: 3038533500)

πŸ“
Updated Business Mailing Address November 17, 2022

Registered at 1870 W 122ND AVE STE 100, WESTMINSTER, CO 802342075 (Tel: 3038533500)

πŸ‘€
Provider Name / Credentials Updated November 17, 2022

Recorded as RANDY ANDERSEN, LCSW

πŸ“
Updated Practice Location July 27, 2021

Registered at 8405 CHURCH RANCH BLVD, WESTMINSTER, CO 800213918 (Tel: 3034382249)

πŸ“
Updated Business Mailing Address July 27, 2021

Registered at 8405 CHURCH RANCH BLVD, WESTMINSTER, CO 800213918 (Tel: 3037664391)

πŸ“
Updated Practice Location January 03, 2019

Registered at 211 W MAIN ST, STERLING, CO 807513168 (Tel: 9705224392)

πŸ“
Updated Business Mailing Address January 03, 2019

Registered at 211 W MAIN ST, STERLING, CO 807513168 (Tel: 9705224549)

βœ…
NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2015

Registered at 723 DELAWARE ST, DENVER, CO 802044504 (Tel: 3036023932)

πŸ“
Business Mailing Address (Initial Record) June 11, 2015

Registered at 723 DELAWARE ST, DENVER, CO 802044504 (Tel: 3036023932)

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2015

Recorded as RANDY ANDERSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Social Worker (license number reported to NPPES: CO 989387)

🟒
Initial NPI Registration & Enumeration June 11, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083095392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2015
Last Update: September 05, 2024
Sole Proprietor: No

Other Social Worker - Clinicals in Wheaton

All Social Worker - Clinicals in Wheaton

Mailing Address

128 S County Farm Rd Ste C

Wheaton, IL 601872400

Phone: 6304478818

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.