MS. Jaylyn Denise Randles, CPSW, CHW
MS. Jaylyn Denise Randles, CPSW, CHW is an Undefined Non-Physician Type (Specify) in Gallup, New Mexico. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New Mexico.
- Years since qualifying
- 2
- Licensed in
- NM
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
2111 College DrGallup, NM 87301-5600
Phone: (505) 879-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence S3-1615 (NM) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X · Licence 1456 (NM) |
| Doula | Taxonomy 374J00000X · Licence 0019-2025 (NM) |
Record details
| NPI number | 1962269118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPSW , CHW |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2024 |
| Last updated in NPPES | May 29, 2025 |
| Certification date | May 29, 2025 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Gallup
-
William Anthony Burrola, CPSW
2105 Hassler Valley Rd, Gallup, NM 87301 · (505) 413-3447
-
Mr. Kenneth Daniel Collins, CPSW, CSHPS
2915 W Historic Highway 66 Rm 1203, Gallup, NM 87301-6812 · (505) 870-1483
-
Joanna L Leggett
2111 College Dr, Gallup, NM 87301-5600 · (505) 397-5172
-
Joshua Longhat, CPSW
2028 E Aztec Ave, Gallup, NM 87301-4804 · (505) 240-8759
-
Bridgette Silva, CSW75312/20/2025
303 S First St, Gallup, NM 87301-6211 · (505) 413-3447
-
Tina Spencer
2105 Hasler Valley Rd, Gallup, NM 87301-8730 · (505) 413-3447
-
Ashley Tapaha
2105 Hasler Valley Rd, Gallup, NM 87301-8730 · (505) 405-9586