Individual provider · Type 1 NPI

Nicole RG Randall, LCSW CADC

Clinical Social Worker · Bar Harbor, ME

NPI number 1023592771 Active

Practice location

322 Main St
Bar Harbor, ME 04609-1648

Mailing address

322 Main St Fl 3
Bar Harbor, ME 04609-1648

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC6664 (ME)
Clinical Social Worker Primary 1041C0700XLC17326 (ME)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023592771

Nicole RG Randall, LCSW CADC's National Provider Identifier is 1023592771, issued on Sep 19, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bar Harbor, ME. The record was last updated on Sep 19, 2018.