Individual provider · Type 1 NPI

Tyantha G. Randall, LCSW-C

Clinical Social Worker · Salisbury, MD

NPI number 1407052400 Active

Practice location

104 Williamsport Cir, Suite C
Salisbury, MD 21804-6400

Call (443) 859-8699 Map

Fax (443) 859-8747

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13117 (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 1407052400

Tyantha G. Randall, LCSW-C's National Provider Identifier is 1407052400, issued on Jun 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salisbury, MD. The record was last updated on Feb 27, 2012.