Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265174973 Individual Practitioner Female Practitioner

Colette Randol , MSW

Social Worker • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Colette Randol, MSW is a registered healthcare professional specializing in Social Worker in Fort Wayne, IN. Practice services are available at 750 BROADWAY STE 350 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 Broadway Ste 350

Fort Wayne, IN 468021412

Telephone 2604232675
Fax 2604236621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Wayne, IN (2058 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IN 99109008A

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Austin Trump , DO

Family Medicine

NPI 1033005640

Doctor of Osteopathic Medicine (D.O.)

Dr. Victor Kuzma , DO

Family Medicine

NPI 1043107493

Doctor of Osteopathic Medicine (D.O.)

NPI 1053153197

Doctor of Osteopathic Medicine (D.O.)

Dr. Rahima Taugir , MD

Family Medicine

NPI 1073207437

Doctor of Medicine (M.D.)

Dr. Daniel Abreu , MD

Family Medicine

NPI 1093409591

Doctor of Medicine (M.D.)

Dr. Evyenia Lippe , MD

Family Medicine

NPI 1093640765

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2022

Registered at 750 BROADWAY STE 350, FORT WAYNE, IN 468021412 (Tel: 2604232675)

📍
Updated Business Mailing Address April 12, 2022

Registered at 750 BROADWAY STE 350, FORT WAYNE, IN 468021412 (Tel: 2604232675)

👤
Provider Name / Credentials Updated April 12, 2022

Recorded as COLETTE RANDOL, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2022

Social Worker (License #99109008A in IN)

🟢
Initial NPI Registration & Enumeration April 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265174973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2022
Last Update: April 12, 2022
Sole Proprietor: No

Mailing Address

750 Broadway Ste 350

Fort Wayne, IN 468021412

Phone: 2604232675

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.