Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Lynne Randall-Bly, LCSW

Individual provider Clinical Social Worker · NPI 1184665762

Krista Lynne Randall-Bly, LCSW is a Clinical Social Worker in Erie, Pennsylvania. Qualified in 1991, 35 years ago. Practices with Community Health Net, a 16-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1202 State St
Erie, PA 16501-1914
Phone: (814) 455-7222
Fax: (814) 456-2375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW007945L (PA)

Record details

NPI number1184665762
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Community Health Net — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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