Individual provider · Type 1 NPI
Ethan Randall
Clinical Social Worker · Tahlequah, OK
Practice location
308 E Downing St
Tahlequah, OK 74464-3014
Mailing address
6947 N 460 Rd
Hulbert, OK 74441-3250
Other practice locations
- 217 N Water Ave, Tahlequah, OK 74464-2825 · (888) 692-6590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 8189 (OK) |
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…
3 other providers at this address
Other clinical social worker providers in Tahlequah
- Quentin Sigman, LMSW U/SClinical Social Worker Tahlequah, OK NPI 1003576349
- Pamela Kay Rusco, L.C.S.W.Clinical Social Worker Tahlequah, OK NPI 1194996397
- Micala CooperClinical Social Worker Tahlequah, OK NPI 1225591258
- Sara Kay Perry, LMSWClinical Social Worker Tahlequah, OK NPI 1295365625
- Michelle Lynn Morrison, LCSWClinical Social Worker Tahlequah, OK NPI 1376786103
- Dawn BallewClinical Social Worker Tahlequah, OK NPI 1386017374
- Theron OgedengbeClinical Social Worker Tahlequah, OK NPI 1578925681
- Charity Faith Green, LMSW-PClinical Social Worker Tahlequah, OK NPI 1588308274
About NPI 1508526773
Ethan Randall's National Provider Identifier is 1508526773, issued on Dec 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 24, 2024.