Randolph Paul Andersen, LCSW

Clinical Social Worker · Wheaton, IL

Individual Active NPI

NPI number 1083095392

Practice location

128 S County Farm Rd Ste C
Wheaton, IL 60187-2400
Phone
(630) 447-8818

Open in Google Maps

NPI record

NPI
1083095392
Entity type
Individual (Type 1)
Enumeration date
June 11, 2015
Last updated
September 5, 2024
Certified
September 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149027573 IL

About Randolph Andersen

Randolph Paul Andersen, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 128 S County Farm Rd Ste C, Wheaton, IL 60187-2400. The NPI number 1083095392 was assigned on June 11, 2015 and the record was last updated on September 5, 2024.

Randolph Andersen lists a license in the registry: #149027573 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randolph Paul Andersen, LCSW?

The NPI number is 1083095392.

What is the phone number of Randolph Andersen?

The phone number listed for the practice location is (630) 447-8818.

Where is Randolph Andersen located?

128 S County Farm Rd Ste C, Wheaton, IL 60187-2400.

What is the taxonomy code for Randolph Andersen?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Wheaton

All Clinical Social Worker providers in Wheaton, IL →