MEDICARE: MISS JULIANNE BETH RANDALL-MESSENGER LMSW

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	6801121696	MI
2	1041C0700X	Clinical Social Worker	6851114822	MI
3	174400000X	Specialist

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	:	1659558500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIANNE BETH RANDALL-MESSENGER LMSW

Provider Business Mailing Address
First Line	:	6060 STONEY VIEW DR STE 200
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4970
Country	:	US
Telephone Number	:	517-282-5427
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 STONEY VIEW DR STE 200
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4970
Country	:	US
Telephone Number	:	517-282-5427
Fax Number	:

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

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	06/23/2026

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