Mr Randall Allen Whitaker, MSW, LCSW, CASAC - Medicare Clinical Social Worker in Fort Leonard Wood, MO

Mr Randall Allen Whitaker, MSW, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Fort Leonard Wood, Missouri. His current practice location is 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-0417.

Mr Randall Allen Whitaker is licensed to practice in Missouri (license number 000791) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164438263.

Contact Information

Mr Randall Allen Whitaker, MSW, LCSW, CASAC
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952
(573) 596-0417
(573) 596-0524



Healthcare Provider's Profile

Full NameMr Randall Allen Whitaker
GenderMale
SpecialitySocial Worker - Clinical
Location126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164438263
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8123202132
  • Enrollment ID: I20150513001808

Medical Identifiers

Medical identifiers for Mr Randall Allen Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164438263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 000791 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randall Allen Whitaker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Randall Allen Whitaker, MSW, LCSW, CASAC
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-0417
Mr Randall Allen Whitaker, MSW, LCSW, CASAC
126 Missouri Ave, Mcxp-ccs-cr,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-0417

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› Verified 3 days ago


Social Worker in Fort Leonard Wood, MO

Erica L Asbell, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0522    
Barbara Ann Welch, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Stephen Lindsey Dunaway, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0522    
Mr. Bruce Franklin Burgo, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1507    
Nicole Campbell, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-9524    
Keonyoung Lim, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0131    

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