Individual provider · Type 1 NPI

Marchel'le McMiller-Randle

Clinical Social Worker · Lake Elmo, MN

NPI number 1851056121 Active

Practice location

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500

Mailing address

1030 Saint Johns Bay
Woodbury, MN 55129

Other practice locations

  • 2042 Wooddale Dr Ste 125, Woodbury, MN 55125-4394 · (651) 689-3007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31666 (MN)

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…

35 other providers at this address

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About NPI 1851056121

Marchel'le McMiller-Randle's National Provider Identifier is 1851056121, issued on Nov 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Elmo, MN. The record was last updated on Jul 14, 2025.