Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY K SODERQUIST, LCSW
ActiveRANDY K SODERQUIST, LCSW is a Clinical Social Worker healthcare provider located in FREDONIA, Arizona. NPI 1144368010 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FREDONIA, AZ
Registration Details
- NPI Number
- 1144368010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.515212813831 yrs)
- Last Updated
- Oct 12, 2012
- Licenses
-
131852-3501 (UT)LCSW-12612 (AZ)
Practice Information
- Address
-
465 SOUTH MAINFREDONIA, AZ, 86022Browse AZ providers · Browse ZIP 86022
- Phone
- 9286436000
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FREDONIA, AZ
| Name | Credential | NPI |
|---|---|---|
| JEFFREY JANES | LCSW | 1174827489 |
| ANDRIA SODERQUIST | — | 1215666771 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.