Michelle Marie Randolph in Fresno - Clinical
Michelle Marie Randolph - NPI 1649395872
Michelle Marie Randolph is a Clinical in Fresno, California. Michelle Marie Randolph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Marie Randolph is 1649395872. The last update date is 2023-10-23.
Michelle Marie Randolph's current location address is 373 E Shaw Ave # 140, Fresno, California. You can contact this provider via phone number 5593043422 and fax number 5592489779. The mailing address for Michelle Marie Randolph is 373 E Shaw Ave # 140, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Marie Randolph |
|---|---|
| Address | 373 E Shaw Ave # 140, Fresno, California |
| Phone Number | 5593043422 |
| Fax Number | 5592489779 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649395872 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2023-10-23 |
Provider Mailing Address Detail
| Address | 373 E Shaw Ave # 140 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937107609 |
| Phone Number | 5593043422 |
| Fax Number | 5592489779 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 21336 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michelle Marie Randolph by the Centers for Medicare & Medicaid Services?
The Michelle Marie Randolph has been issued the NPI (National Provider Identifier) 1649395872 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Michelle Marie Randolph is geographically located?
The Michelle Marie Randolph is physically situated at the following location: 373 E Shaw Ave # 140, Fresno, CA, 937107609.
What is Michelle Marie Randolph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michelle Marie Randolph is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649395872 to Michelle Marie Randolph?
The Michelle Marie Randolph received its 1649395872 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information related to Michelle Marie Randolph most recently updated or refreshed?
The details pertaining to the Michelle Marie Randolph, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-23.