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

TINA NICOLE RANDOLPH, LISW

Active Sole Proprietor

Clinical Social Worker · DOVER AFB, DE

Registration Details

NPI Number
1780172973
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2018 (7.9930585455137 yrs)
Last Updated
Nov 30, 2021
Licenses
23300 (MD)
I.2002316 (OH)
Sole Proprietor
Yes

Practice Information

Address
300 TUSKEGEE BLVD
DOVER AFB, DE, 199025003
Browse DE providers · Browse ZIP 19902
Phone
3026772674
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in DOVER AFB, DE

Name Credential NPI
ROBIN EDMUND JACKSON MSW 1154308831
CHERYL OUIMET LEBEAU LMSW, BCD 1659430106
MS. LATOYA SAMANTHA-LEE ARTIS LCSW 1528249455
CHRISTINA L PICHE LCSW 1083933709
MRS. TARA LYNN DICK LCSW 1750793972
MRS. STELLA ALEXANDRA TWUMASI LCSW 1891369989
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.