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

MARK RANDALL, LICSW

Active Sole Proprietor

MARK RANDALL, LICSW is a Social Worker healthcare provider located in GERMANTOWN, New York. NPI 1699257972 is currently active in the NPPES registry. Verify at CMS.

Social Worker · GERMANTOWN, NY

Registration Details

NPI Number
1699257972
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2018 (7.9033854522764 yrs)
Last Updated
Sep 3, 2018
License
101838 (MA)
Sole Proprietor
Yes

Practice Information

Address
600 WOODS RD
GERMANTOWN, NY, 125265644
Browse NY providers · Browse ZIP 12526
Phone
5185375000
Primary Specialty
Social Worker
104100000X
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.