Lori Randolph, LCSW, PEL, CYT 200
NPI 1154290757 · Clinical Social Worker · Jonesboro, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lori Randolph, LCSW, PEL, CYT 200 is a Clinical Social Worker provider in Jonesboro, IL (NPI 1154290757).
Provider details
- NPI number
- 1154290757
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, PEL, CYT 200
- Sex
- Female
- Sole proprietor
- No
- License
- 149.030335 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-03
- Certified
- 2025-11-02
Frequently asked questions
- What is Lori Randolph's NPI number?
- Lori Randolph's National Provider Identifier (NPI) is 1154290757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Randolph's specialty?
- Lori Randolph is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lori Randolph located?
- Lori Randolph's practice location on file with NPPES is 2805 State Route 127 S, Jonesboro, IL 62952-1326.
- What is Lori Randolph's phone number?
- The practice phone number listed in the NPPES registry for Lori Randolph is (618) 685-0580.
- Does Lori Randolph accept Medicare?
- Lori Randolph is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lori Randolph's NPI active?
- Yes — Lori Randolph's NPI (1154290757) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.