Individual provider · Type 1 NPI
Phyllis Randle, LCSW-C
Clinical Social Worker · Largo, MD
Practice location
1400 Mercantile Ln, 232
Largo, MD 20774-5341
Fax (301) 583-3403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 09062 (MD) |
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 1376736124
Phyllis Randle, LCSW-C's National Provider Identifier is 1376736124, issued on Aug 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Largo, MD. The record was last updated on Aug 24, 2007.