Individual provider · Type 1 NPI

Bryan J. Randolph, LICSW

Clinical Social Worker · Pike, NH

NPI number 1639536147 Active

Practice location

2274 Mount Moosilauke Hwy
Pike, NH 03780-5615

Mailing address

PO Box 175
Haverhill, NH 03765-0175

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1894 (NH)

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 1639536147

Bryan J. Randolph, LICSW's National Provider Identifier is 1639536147, issued on Jan 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pike, NH. The record was last updated on Jan 28, 2016.