Individual provider · Type 1 NPI
Tina Nicole Randolph, LISW
Clinical Social Worker · Dover Afb, DE
Practice location
300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 23300 (MD) |
| Clinical Social Worker Primary | 1041C0700X | I.2002316 (OH) |
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 1780172973
Tina Nicole Randolph, LISW's National Provider Identifier is 1780172973, issued on Apr 24, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dover Afb, DE. The record was last updated on Nov 30, 2021.