Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marchel'le McMiller-Randle

Individual provider Clinical Social Worker · NPI 1851056121

Marchel'le McMiller-Randle is a Clinical Social Worker in Lake Elmo, Minnesota. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2021
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Practice location Address checks out

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Phone: (612) 371-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2042 Wooddale Dr Ste 125, Woodbury, MN 55125-4394 — (651) 689-3007

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 31666 (MN)

Record details

NPI number1851056121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
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 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lake Elmo