IndividualActive
Ethan Randall
NPI 1508526773 · Clinical Social Worker · Tahlequah, OK
Ethan Randall is a Clinical Social Worker provider in Tahlequah, OK (NPI 1508526773).
Provider details
- NPI number
- 1508526773
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8189 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
308 E Downing St
Tahlequah, OK 74464-3014
Phone: (918) 931-3995
Street-level locationGet directions
Mailing address
6947 N 460 Rd
Hulbert, OK 74441-3250
Additional practice locations (1)
- 217 N Water AveTahlequah, OK 74464-2825Phone: (888) 692-6590
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Ethan Randall's NPI number?
- Ethan Randall's National Provider Identifier (NPI) is 1508526773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Randall's specialty?
- Ethan Randall is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ethan Randall located?
- Ethan Randall's practice location on file with NPPES is 308 E Downing St, Tahlequah, OK 74464-3014.
- What is Ethan Randall's phone number?
- The practice phone number listed in the NPPES registry for Ethan Randall is (918) 931-3995.
- Is Ethan Randall's NPI active?
- Yes — Ethan Randall's NPI (1508526773) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.