Tina Nicole Randolph, LISW
NPI 1780172973ActiveIndividual· Social Worker, Clinical· Dover Afb, DE
Social Worker, Clinical (LISW) in Dover Afb, Delaware, licensed in OH and MD, with an NPI issued in April 2018.
Overview
| NPI | 1780172973 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | Yes |
| NPI issued | Apr 24, 2018 |
| Last updated in NPPES | Nov 30, 2021 |
| Certified by provider | Nov 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2002316 | OH |
| Social Worker | 104100000X | 23300 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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