MEDICARE: MR. RANDALL ALAN ARMS JR. LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW 5443	FL
2	103K00000X	Behavior Analyst	1-04-1928	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477878247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDALL ALAN ARMS JR. LCSW

Provider Business Mailing Address
First Line	:	114 PELICAN DR
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-3735
Country	:	US
Telephone Number	:	772-538-2553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 INDIAN RIVER BLVD
Second Line	:	SUITE A210
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5639
Country	:	US
Telephone Number	:	772-245-0222
Fax Number	:	772-231-5526

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	01/03/2017

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