Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Randy Thomas Gearhart, MSSA, LCSW

Individual provider Clinical Social Worker · NPI 1720091291

Mr. Randy Thomas Gearhart, MSSA, LCSW is a Clinical Social Worker in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
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

1110 E Missouri Ave Ste 640
Phoenix, AZ 85014-2735
Phone: (602) 432-4965
Fax: (602) 900-4545
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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 LCSW-10536 (AZ)

Record details

NPI number1720091291
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSA , LCSW
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESMay 16, 2021
Certification dateMay 16, 2021

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