MARIANNA RANDOLPH (NPI# 1609150853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609150853 |
| Entity Type | Individual |
| Full Name | MARIANNA RANDOLPH |
| Credential | LCSW |
| Practice Address |
2100 Eloise Ave South Lake Tahoe CA 96150-4306 |
| Mailing Address |
2333 California Ave South Lake Tahoe CA 96150-7122 |
| Practice Telephone | 5305441748 |
| Practice Fax Number | 5305441728 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 24256 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2100 ELOISE AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013297837 | A Balanced Life: Individual, Family & Child Therapy, Inc. | Counselor | 2100 Eloise Ave, South Lake Tahoe, CA 96150-4306 | 2011-08-24 |
| 1083153837 | A Balanced Life: Individual, Family and Child Therapy, Inc | Counselor | 2100 Eloise Ave, South Lake Tahoe, CA 96150-4306 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053825505 | Mountain Therapy Collaborative | Social Worker | 870 Emerald Bay Rd Ste 303, South Lake Tahoe, CA 96150-9400 | 2017-11-20 |
| 1336363902 | Sally Ann Williams | Social Worker | 2074 Lake Tahoe Bvld, Suite 9, South Lake Tahoe, CA 96150 | 2007-04-12 |
| 1740348259 | Thomas Lawrence Hollowaty | Social Worker | 1447 Herbert Ave, Suite 204, South Lake Tahoe, CA 96150-8976 | 2006-12-05 |
| 1902327992 | Laura Stevens | Social Worker | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2017-06-29 |
| 1962746065 | Kimberly Angela Vankirk | Social Worker | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2012-11-15 |
| 1235427634 | Aaron M Lindsey | Social Worker | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 | 2011-07-19 |
| 1760614366 | Jennifer Phoenix Dawn | Social Worker | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2009-08-14 |
| 1619169653 | Elizabeth Anne Glass | Social Worker | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2007-08-14 |
| 1407057219 | Laurie Claire Gallagher | Social Worker | 3320 Sandy Way, Suite 4, South Lake Tahoe, CA 96150-8105 | 2007-05-30 |
| 1215152582 | Linda Hardin Bingham | Social Worker | 1120 3rd St, South Lake Tahoe, CA 96150-3451 | 2007-04-13 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on MARIANNA RANDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.