Individual provider · Type 1 NPI

Michael Randolph

Clinical Social Worker · Roseburg, OR

NPI number 1144010653 Active

Practice location

548 SE Jackson St
Roseburg, OR 97470-4983

Call (541) 440-3532 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone listed

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…

109 other providers at this address

Other clinical social worker providers in Roseburg

See all in Roseburg →

About NPI 1144010653

Michael Randolph's National Provider Identifier is 1144010653, issued on May 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Oct 5, 2026.