Nicole Rg Randall, LCSWCADC
Nicole Rg Randall, LCSWCADC is a Clinical Social Worker in Bar Harbor, Maine. Qualified in 2016, 10 years ago. Practices with Mount Desert Island Hospital, a 59-clinician group and accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 10
- Licensed in
- ME
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
322 Main StBar Harbor, ME 04609-1648
Phone: (207) 288-8604
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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 LC17326 (ME) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CAC6664 (ME) |
Record details
| NPI number | 1023592771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSWCADC |
| Sole proprietor | No |
| NPI enumerated | September 19, 2018 |
| Last updated in NPPES | September 19, 2018 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Mount Desert Island Hospital — 59 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |