Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI RANDOLPH, LCSW, PEL, CYT 200
ActiveLORI RANDOLPH, LCSW, PEL, CYT 200 is a Clinical Social Worker healthcare provider located in JONESBORO, Illinois. NPI 1154290757 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JONESBORO, IL
Registration Details
- NPI Number
- 1154290757
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2025 (0.81743191202128 yrs)
- Last Updated
- Nov 3, 2025
- Licenses
-
149.030335 (IL)2546182 (IL)
Practice Information
- Address
-
2805 STATE ROUTE 127 SJONESBORO, IL, 629521326Browse IL providers · Browse ZIP 62952
- Phone
- 6186850580
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- School Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.