Randi D. Bryan, LCSW

Clinical Social Worker · Sugar Grove, IL

Individual Active NPI

NPI number 1871241018

Practice location

402 Hankes Rd
Sugar Grove, IL 60554-4300
Phone
(757) 784-8295

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NPI record

NPI
1871241018
Entity type
Individual (Type 1)
Enumeration date
March 16, 2022
Last updated
March 16, 2022
Certified
March 16, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149024391 IL
Clinical Social Worker 1041C0700X 0904012705 VA

About Randi Bryan

Randi D. Bryan, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 402 Hankes Rd, Sugar Grove, IL 60554-4300. The NPI number 1871241018 was assigned on March 16, 2022 and the record was last updated on March 16, 2022.

Randi Bryan lists 2 licenses in the registry: #149024391 (IL) for Clinical Social Worker; #0904012705 (VA) 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 Randi D. Bryan, LCSW?

The NPI number is 1871241018.

What is the phone number of Randi Bryan?

The phone number listed for the practice location is (757) 784-8295.

Where is Randi Bryan located?

402 Hankes Rd, Sugar Grove, IL 60554-4300.

What is the taxonomy code for Randi Bryan?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

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.

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