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

Individual provider Clinical Social Worker · NPI 1457083974

Lucas Randolph, LLMSW is a Clinical Social Worker in South Lyon, Michigan. Qualified in 2022, 4 years ago. Practices with Lyon Counseling Center, a 14-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

127 N Lafayette St
South Lyon, MI 48178-1210
Phone: (248) 573-7417
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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 6801120440 (MI)

Record details

NPI number1457083974
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address127 N Lafayette St, South Lyon, MI 48178-1210

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lyon Counseling Center — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Lyon