Individual provider · Type 1 NPI
Lucas Randolph, LLMSW
Clinical Social Worker · South Lyon, MI
Practice location
127 N Lafayette St
South Lyon, MI 48178-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801120440 (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 1457083974
Lucas Randolph, LLMSW's National Provider Identifier is 1457083974, issued on Jun 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lyon, MI. The record was last updated on Jul 2, 2025.