Individual provider · Type 1 NPI

George Randall Jr., PhD

Clinical Social Worker · Baltimore, MD

NPI number 1609428929 Active

Practice location

6819 Reisterstown Rd Ste 203
Baltimore, MD 21215-1418

Call (443) 438-4584 Map

Fax (443) 835-2037

Mailing address

1018 Woodson Rd Apt A
Baltimore, MD 21212-2896

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14329 (MD)

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 1609428929

George Randall Jr., PhD's National Provider Identifier is 1609428929, issued on Jul 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 16, 2019.