Randy K Soderquist, LCSW
Randy K Soderquist, LCSW is a Clinical Social Worker in Fredonia, Arizona. Licensed in Arizona and Utah. Registered with an NPI since 2007.
- Licensed in
- AZ, UT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
465 S MainFredonia, AZ 86022
Phone: (928) 643-6000
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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 131852-3501 (UT) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence LCSW-12612 (AZ) |
Record details
| NPI number | 1144368010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | October 12, 2012 |
| Mailing address | 465 South Main, P.O. Box 710, Fredonia, AZ 86022 |
Other providers in Fredonia
-
Jeffrey Janes, LCSW
465 S Main St, Fredonia, AZ 86022-0200 · (702) 701-3806
-
Andria Soderquist
465 S Main St, Fredonia, AZ 86022-0200 · (435) 619-7686