Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Gordon Randall, LCSW/MSSW

Individual provider Clinical Social Worker · NPI 1780916577

Jeffrey Gordon Randall, LCSW/MSSW is a Clinical Social Worker in Sun Prairie, Wisconsin. Qualified in 2011, 15 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2010

Practice location Address checks out

10 Tower Dr
Sun Prairie, WI 53590-1239
Phone: (608) 825-3500
Fax: (608) 824-4918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8455-123 (WI)

Record details

NPI number1780916577
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW/MSSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2010
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sun Prairie