Individual provider · Type 1 NPI

Jeffrey Gordon Randall, LCSW/MSSW

Clinical Social Worker · Sun Prairie, WI

NPI number 1780916577 Active

Practice location

10 Tower Dr
Sun Prairie, WI 53590-1239

Call (608) 825-3500 Map

Fax (608) 824-4918

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8455-123 (WI)

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 1780916577

Jeffrey Gordon Randall, LCSW/MSSW's National Provider Identifier is 1780916577, issued on Feb 4, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sun Prairie, WI. The record was last updated on Sep 28, 2021.