MR. RANDALL GARY JR. GARLAND (LCSW) – Clinical Social Worker, NPI 1710614318

MR. RANDALL GARY JR. GARLAND (LCSW) is a healthcare provider. based in Cocoa, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW20281 (FL). The NPI Number for MR. RANDALL GARY JR. GARLAND (LCSW) is 1710614318

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDALL GARY JR. GARLAND (LCSW)
NPI
1710614318
Phone
(321) 210-2813
Address
4905 BROOKHAVEN ST
Enumeration Date
3 August 2022
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3215074033
Graduation Year
2020 (6 years ago)
PAC ID
3274971791
Group Practice PAC ID
8729436464
Professional Enrollment ID
I20240607000016
Address ID
FL329553243RO1007XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MR. RANDALL GARY JR. GARLAND (LCSW)

  • 4905 BROOKHAVEN ST

    COCOA, FL 329278381

    Phone: (321) 210-2813

    Type: Mailing

  • 2355 TRUMAN SCARBOROUGH WAY

    TITUSVILLE, FL 327961310

    Phone: (321) 210-2813

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240607000016IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32927)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729436464View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for MR. RANDALL GARY JR. GARLAND (LCSW) in the U.S.?
In the U.S., MR. RANDALL GARY JR. GARLAND (LCSW) is identified by NPI 1710614318.
Quick check: is MR. RANDALL GARY JR. GARLAND (LCSW) active?
Public NPPES data shows MR. RANDALL GARY JR. GARLAND (LCSW) with an active NPI status right now.
What does the directory say MR. RANDALL GARY JR. GARLAND (LCSW) does?
Insurance directories may phrase it differently, but here MR. RANDALL GARY JR. GARLAND (LCSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MR. RANDALL GARY JR. GARLAND (LCSW) in Cocoa, Florida?
For routing, start with Cocoa, Florida for MR. RANDALL GARY JR. GARLAND (LCSW), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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