Darius Lamont Randall in Grand Rapids - Clinical
Darius Lamont Randall - NPI 1720201742
Darius Lamont Randall is a Clinical in Grand Rapids, Michigan. Darius Lamont Randall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darius Lamont Randall is 1720201742. The last update date is 2013-02-12.
Darius Lamont Randall's current location address is 1179 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164542004 and fax number 6164540061. The mailing address for Darius Lamont Randall is 1179 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darius Lamont Randall |
|---|---|
| Address | 1179 E Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6164542004 |
| Fax Number | 6164540061 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1720201742 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2013-02-12 |
Provider Mailing Address Detail
| Address | 1179 E Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468371 |
| Phone Number | 6164542004 |
| Fax Number | 6164540061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1696672 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Darius Lamont Randall by the Centers for Medicare & Medicaid Services (CMS)?
The Darius Lamont Randall has been assigned the NPI (National Provider Identifier) 1720201742. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Darius Lamont Randall?
The Darius Lamont Randall is physically situated at 1179 E Paris Ave Se, in the city of Grand Rapids, state of MI, with the postal code 495468371.
What is the Darius Lamont Randall's specialty and taxonomy code?
The Darius Lamont Randall's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Darius Lamont Randall receive its 1720201742?
The Darius Lamont Randall was issued its 1720201742 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Darius Lamont Randall's details last updated?
The information pertaining to the Darius Lamont Randall, including its address, specialty, and other details, was most recently updated on 2013-02-12.
NPI Number: 1104826072
Address: 16581 Brookhurst St, Fountain Valley, CA