Tyantha G. Randall in Salisbury - Clinical
Tyantha G. Randall - NPI 1407052400
Tyantha G. Randall is a Clinical in Salisbury, Maryland. Tyantha G. Randall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tyantha G. Randall is 1407052400. The last update date is 2012-02-27.
Tyantha G. Randall's current location address is 104 Williamsport Cir, Salisbury, Maryland. You can contact this provider via phone number 4438598699 and fax number 4438598747. The mailing address for Tyantha G. Randall is 104 Williamsport Cir, Salisbury, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyantha G. Randall |
|---|---|
| Address | 104 Williamsport Cir, Salisbury, Maryland |
| Phone Number | 4438598699 |
| Fax Number | 4438598747 |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1407052400 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2012-02-27 |
Provider Mailing Address Detail
| Address | 104 Williamsport Cir |
|---|---|
| City | Salisbury |
| State | Maryland (MD) |
| Post Code | 218046400 |
| Phone Number | 4438598699 |
| Fax Number | 4438598747 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 13117 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 744800100 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tyantha G. Randall?
The Tyantha G. Randall has been issued the NPI (National Provider Identifier) 1407052400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tyantha G. Randall's facilities are geographically located?
The facilities of Tyantha G. Randall are physically situated at the following location: 104 Williamsport Cir, Salisbury, MD, 218046400.
What is the Tyantha G. Randall's specialty and taxonomy code?
The Tyantha G. Randall's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Tyantha G. Randall receive the assignment of its 1407052400 from the Centers for Medicare & Medicaid Services?
The Tyantha G. Randall was issued its 1407052400 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details pertaining to Tyantha G. Randall last refreshed?
The information related to the Tyantha G. Randall, including its address, specialty, and other relevant details, was last updated on 2012-02-27.
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