Individual provider · Type 1 NPI

Randall Allen Whitaker, MSW, LCSW, CASAC

Clinical Social Worker · Fort Leonard Wood, MO

NPI number 1164438263 Active

Practice location

126 Missouri Ave, Mcxp-Ccs-Cr
Fort Leonard Wood, MO 65473-8952

Call (573) 596-0417 Map

Fax (573) 596-0524

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000791 (MO)

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 1164438263

Randall Allen Whitaker, MSW, LCSW, CASAC's National Provider Identifier is 1164438263, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 8, 2007.