Individual provider · Type 1 NPI

Randy Thomas Gearhart, MSSA, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1720091291 Active

Practice location

1110 E Missouri Ave, Ste 640
Phoenix, AZ 85014-2735

Call (602) 432-4965 Map

Fax (602) 900-4545

Mailing address

954 W Hillview St
Mesa, AZ 85201-2421

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-10536 (AZ)

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 1720091291

Randy Thomas Gearhart, MSSA, LCSW's National Provider Identifier is 1720091291, issued on Aug 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on May 16, 2021.