Lori Randolph, LCSW, PEL, CYT200
Lori Randolph, LCSW, PEL, CYT200 is a Clinical Social Worker in Jonesboro, Illinois. Qualified in 2021, 5 years ago. Licensed in Illinois.
- Years since qualifying
- 5
- Licensed in
- IL
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
2805 State Route 127 SJonesboro, IL 62952-1326
Phone: (618) 685-0580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.030335 (IL) |
|---|---|
| School Social Worker | Taxonomy 1041S0200X · Licence 2546182 (IL) |
Record details
| NPI number | 1154290757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , PEL , CYT200 |
| Sole proprietor | No |
| NPI enumerated | November 3, 2025 |
| Last updated in NPPES | November 3, 2025 |
| Certification date | November 2, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |