Individual provider · Type 1 NPI

Randall Carmack, LSW

Clinical Social Worker · Dayton, OH

NPI number 1255849758 Active

Practice location

1 Elizabeth Pl Fl 3
Dayton, OH 45417-3445

Call (937) 815-6233 Map

Mailing address

3103 Dixie Hwy
Hamilton, OH 45015-1653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X162422 (OH)
Clinical Social Worker Primary 1041C0700XI.2507266 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X162458 (OH)
Counselor 101Y00000XLCDCIII.162264 (OH)
Peer Specialist 175T00000XAPS.000660 (OH)

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 1255849758

Randall Carmack, LSW's National Provider Identifier is 1255849758, issued on Jan 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Dec 10, 2025.