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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIANNA RANDOLPH, LCSW

Active Sole Proprietor

MARIANNA RANDOLPH, LCSW is a Clinical Social Worker healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1609150853 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1609150853
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2011 (14.67205465843 yrs)
Last Updated
Jun 30, 2022
License
LCS 24256 (CA)
Sole Proprietor
Yes

Practice Information

Address
924 EMERALD BAY RD
SOUTH LAKE TAHOE, CA, 961509405
Browse CA providers · Browse ZIP 96150
Phone
5307217281
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
MR. THOMAS LAWRENCE HOLLOWATY M.S.W. 1740348259
CAROLYN EDDY MSW, LCSW 1578698247
MR. DAVID FREDERICK ZANDER LCSW 1447372982
MS. SALLY ANN WILLIAMS LCSW -LCS 19708 1336363902
MRS. LINDA HARDIN BINGHAM MSW 1215152582
ARLENE B HAYWARD LCSW 1780808204
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.