Individual provider · Type 1 NPI

Randall Ancil Campbell Jr., LICSW, CADC, CRSS

Clinical Social Worker · Dothan, AL

NPI number 1366030124 Active

Practice location

212 W Troy St Ste B
Dothan, AL 36303-4455

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XADC-907 (AL)
Peer Specialist 175T00000XCRSS-0348 (AL)
Clinical Social Worker Primary 1041C0700X4477C (AL)

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 1366030124

Randall Ancil Campbell Jr., LICSW, CADC, CRSS's National Provider Identifier is 1366030124, issued on Jan 7, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dothan, AL. The record was last updated on Jul 16, 2024.