RANDY NAYLOR LICSW LP NPI 1972558302

NPI Information

NPI: 1972558302
Provider Name: RANDY NAYLOR, LICSW, LP
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
426 WEST AVE
RED WING, MN
ZIP 55066
Phone: (651) 385-6180
Get Directions

Randy Naylor, LICSW, LP is a clinical psychologist in Red Wing, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Randy Naylor, LICSW, LP NPI is 1972558302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

426 WEST AVE
RED WING, MN
ZIP 55066-473
Phone: (651) 385-6180
Fax: (651) 385-6195

The enumeration date for this NPI number is 5/24/2006 and was last updated on 9/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	LP1609	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	117956	OTHER		U-CARE
2	247057800	MEDICAID	MINNESOTA
3	5115551	OTHER		AETNA
4	01013344	OTHER		PREFERRED ONE
5	62-69127	OTHER		MEDICA
6	61Q73NA	OTHER		BX/BS
7	855661013344	OTHER		PREFERREDONE ADMINISTRATI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »