Individual provider · Type 1 NPI

Luke A. Randall, LICSW

Clinical Social Worker · Fort Sam Houston, TX

NPI number 1740558246 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 808-2493 Map

Mailing address

9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431-1000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC008754 (NC)
Clinical Social Worker Primary 1041C0700XLW60546453 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400X13-03-35 (OR)

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 1740558246

Luke A. Randall, LICSW's National Provider Identifier is 1740558246, issued on Dec 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 17, 2021.