Physician Compare National (NPI:1457480204)

HEALTHCARE PROVIDER: RANDY SCOTT LINNELL LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457480204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395760060
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051011001187
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LINNELL
	Individual professional last name
Provider First Name	RANDY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	111 E 5600
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	MURRAY
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	841078173
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8018599238
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y