Corlis Yvonne Randolph in Washington - Clinical
Corlis Yvonne Randolph - NPI 1790822856
Corlis Yvonne Randolph is a Clinical in Washington, District Of Columbia. Corlis Yvonne Randolph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Corlis Yvonne Randolph is 1790822856. The last update date is 2007-07-08.
Corlis Yvonne Randolph's current location address is 823 12th St Ne, Washington, District Of Columbia. You can contact this provider via phone number 2023975042 and fax number 2023971684. The mailing address for Corlis Yvonne Randolph is 823 12th St Ne, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corlis Yvonne Randolph |
|---|---|
| Address | 823 12th St Ne, Washington, District Of Columbia |
| Phone Number | 2023975042 |
| Fax Number | 2023971684 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790822856 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 823 12th St Ne |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200024462 |
| Phone Number | 2023975042 |
| Fax Number | 2023971684 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC301584 |
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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 Corlis Yvonne Randolph's unique identification number?
The Corlis Yvonne Randolph has been assigned the NPI (National Provider Identifier) Number 1790822856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Corlis Yvonne Randolph is geographically located?
The Corlis Yvonne Randolph is physically situated at the following location: 823 12Th St Ne, Washington, DC, 200024462.
What is the Corlis Yvonne Randolph's area of specialization and corresponding taxonomy classification?
The Corlis Yvonne Randolph's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790822856 to Corlis Yvonne Randolph?
The Centers for Medicare & Medicaid Services originally issued the 1790822856 to Corlis Yvonne Randolph on 2007-01-30.
As of what date were the details related to Corlis Yvonne Randolph most recently updated or revised?
The information pertaining to Corlis Yvonne Randolph, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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