Randall Carmack, LSW is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. He graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1 Elizabeth Pl Fl 3, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 815-6233.
Randall Carmack is licensed to practice in Ohio (license number I.2507266) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1255849758.
Healthcare Provider's Profile
| Full Name | Randall Carmack |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 1 Elizabeth Pl Fl 3, Dayton, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Carmack graduated from medical school in 2023
NPI Data:
- NPI Number: 1255849758
- Provider Enumeration Date: 01/18/2018
- Last Update Date: 12/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749768877
- Enrollment ID: I20260130001745
Medical Identifiers
Medical identifiers for Randall Carmack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255849758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 162422 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2507266 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 162458 (Ohio) | Secondary |
| 101Y00000X | Counselor | LCDCIII.162264 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.000660 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Carmack is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randall Carmack, LSW
3103 Dixie Hwy,
Hamilton, OH 45015-1653
Ph: (513) 892-4673 | Randall Carmack, LSW
1 Elizabeth Pl Fl 3,
Dayton, OH 45417-3445
Ph: (937) 815-6233 |
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