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

Randolph Paul Andersen, LCSW

Individual provider Clinical Social Worker · NPI 1083095392

Randolph Paul Andersen, LCSW is a Clinical Social Worker in Wheaton, Illinois. Qualified in 1984, 42 years ago. Practices with Psychiatry of Texas PLLC, a 404-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Licensed in
IL
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

128 S County Farm Rd Ste C
Wheaton, IL 60187-2400
Phone: (630) 447-8818
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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 149027573 (IL)

Record details

NPI number1083095392
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address128 S County Farm Rd Ste C, Wheaton, IL 60187-2400

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Psychiatry Of Texas Pllc — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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