Provider Demographics
NPI:1477878247
Name:ARMS, RANDALL ALAN JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:ALAN
Last Name:ARMS
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:114 PELICAN DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-3735
Mailing Address - Country:US
Mailing Address - Phone:772-538-2553
Mailing Address - Fax:
Practice Address - Street 1:1515 INDIAN RIVER BLVD
Practice Address - Street 2:SUITE A210
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5639
Practice Address - Country:US
Practice Address - Phone:772-245-0222
Practice Address - Fax:772-231-5526
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSW 54431041C0700X
FL1-04-1928103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593040173Medicare UPIN