Individual provider · Type 1 NPI

Randall Gardner Ailes, MA, LMSW, LPC

Clinical Social Worker · Hastings, MI

NPI number 1407124670 Active

Practice location

1425 S Hanover St
Hastings, MI 49058-2544

Call (269) 929-7784 Map

Fax (269) 945-3182

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801014389 (MI)

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 1407124670

Randall Gardner Ailes, MA, LMSW, LPC's National Provider Identifier is 1407124670, issued on Dec 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hastings, MI. The record was last updated on Dec 2, 2011.