Individual provider · Type 1 NPI

Jacob C. Randall, LMSW

Clinical Social Worker · Tulsa, OK

NPI number 1225901192 Active

Practice location

311 S Madison Ave
Tulsa, OK 74120-3208

Call (918) 582-0061 Map

Mailing address

1232 S New Haven Ave
Tulsa, OK 74112-5130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20301 (OK)

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 1225901192

Jacob C. Randall, LMSW's National Provider Identifier is 1225901192, issued on Sep 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tulsa, OK. The record was last updated on Sep 26, 2025.