Individual provider · Type 1 NPI

Charonne Moniique Randall, LCSW-C

Clinical Social Worker · Upper Marlboro, MD

NPI number 1780247965 Active

Practice location

1300 Mercantile Ln Ste 198
Upper Marlboro, MD 20774-5339

Call (301) 386-2991 Map

Mailing address

7541 Pelham Way
Hanover, MD 21076-1070

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15357 (MD)

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 1780247965

Charonne Moniique Randall, LCSW-C's National Provider Identifier is 1780247965, issued on Apr 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Upper Marlboro, MD. The record was last updated on Apr 15, 2019.