Individual provider · Type 1 NPI
Kimberly Randall, LCSW
Clinical Social Worker · Corona, CA
Practice location
2055 Kellogg Ave.
Corona, CA 92879-5942
Mailing address
2055 Kellogg Ave
Corona, CA 92879-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 85337 (CA) |
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 1508059106
Kimberly Randall, LCSW's National Provider Identifier is 1508059106, issued on Aug 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corona, CA. The record was last updated on Dec 21, 2021.