Provider Demographics
NPI:1487809612
Name:RACENSTEIN, RANDI JOY (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:JOY
Last Name:RACENSTEIN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 NIGHTHAWK CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-3134
Mailing Address - Country:US
Mailing Address - Phone:516-526-9750
Mailing Address - Fax:303-484-1460
Practice Address - Street 1:791 NIGHTHAWK CIRCLE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:516-526-9750
Practice Address - Fax:303-484-1460
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0000001142104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker