Provider Demographics
NPI:1053371252
Name:ADLER, RANDI (LCSW)
Entity type:Individual
Prefix:MS
First Name:RANDI
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13231 NW 11TH CT
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-3910
Mailing Address - Country:US
Mailing Address - Phone:954-846-2163
Mailing Address - Fax:
Practice Address - Street 1:JEWISH COMMUNITY SERVICES OF SOUTH FLORIDA
Practice Address - Street 2:18999 BISCAYNE BLVD., SUITE 200
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-933-9820
Practice Address - Fax:305-933-9843
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00015661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3050OtherBLUE CROSS BLUE SHIELD
FLZ3050OtherBLUE CROSS BLUE SHIELD