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

Randall Bruce Minteer, LCSW-C

Individual provider Social Worker · NPI 1962809889

Randall Bruce Minteer, LCSW-C is a Clinical Social Worker in Stevensville, Maryland. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2014
Specialties on file
2

Practice location Address checks out

101 Log Canoe Cir Ste F
Stevensville, MD 21666-2106
Phone: (443) 775-0126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20221 (MD)
Social Worker Taxonomy 104100000X · Licence 20221 (MD)

Record details

NPI number1962809889
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedNovember 20, 2014
Last updated in NPPESOctober 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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