Individual provider · Type 1 NPI

Marianna Randolph, LCSW

Clinical Social Worker · South Lake Tahoe, CA

NPI number 1609150853 Active

Practice location

924 Emerald Bay Rd
South Lake Tahoe, CA 96150-9405

Call (530) 721-7281 Map

Mailing address

PO Box 9343
South Lake Tahoe, CA 96158-2343

Other practice locations

  • 2100 Eloise Ave, South Lake Tahoe, CA 96150-4306 · (530) 544-1748

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 24256 (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…

3 other providers at this address

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About NPI 1609150853

Marianna Randolph, LCSW's National Provider Identifier is 1609150853, issued on Oct 6, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jun 30, 2022.