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

Randall Edward Lee, LISW

Individual provider Clinical Social Worker · NPI 1902211097

Randall Edward Lee, LISW is a Clinical Social Worker in Fairfield, Ohio. Qualified in 2010, 16 years ago. Practices with Mindfully LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2014
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
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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 I1600159 (OH)

Record details

NPI number1902211097
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESJuly 21, 2022
Mailing address1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield