Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Randall, LCSW

Individual provider Clinical Social Worker · NPI 1508059106

Kimberly Randall, LCSW is a Clinical Social Worker in Corona, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2055 Kellogg Ave
Corona, CA 92879-5942
Phone: (951) 353-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 85337 (CA)

Record details

NPI number1508059106
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 27, 2007
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address2055 Kellogg Ave, Corona, CA 92879-3111

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