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

Marianna Randolph, LCSW

Individual provider Clinical Social Worker · NPI 1609150853

Marianna Randolph, LCSW is a Clinical Social Worker in South Lake Tahoe, California. Qualified in 2004, 22 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

924 Emerald Bay Rd
South Lake Tahoe, CA 96150-9405
Phone: (530) 721-7281
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2100 Eloise Ave, South Lake Tahoe, CA 96150-4306 — (530) 544-1748

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 24256 (CA)

Record details

NPI number1609150853
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 6, 2011
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Lake Tahoe