Individual provider · Type 1 NPI

Pamela Marie Randolph, LCSW

Clinical Social Worker · Leavenworth, KS

NPI number 1740238658 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Call (913) 682-2000 Map

Fax (913) 758-4149

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 227 (MO)

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 1740238658

Pamela Marie Randolph, LCSW's National Provider Identifier is 1740238658, issued on May 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leavenworth, KS. The record was last updated on Jul 13, 2026.