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

Randall Carmack, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255849758

Randall Carmack, LSW is a Clinical Social Worker in Dayton, Ohio. Qualified in 2023, 3 years ago. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2018
Specialties on file
5
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1 Elizabeth Pl Fl 3
Dayton, OH 45417-3445
Phone: (937) 815-6233
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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 I.2507266 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 162422 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 162458 (OH)
Counselor Taxonomy 101Y00000X · Licence LCDCIII.162264 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.000660 (OH)

Record details

NPI number1255849758
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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