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

Tina Nicole Randolph, LISW

Individual provider Social Worker · NPI 1780172973

Tina Nicole Randolph, LISW is a Social Worker in Dover AFB, Delaware. Practices as a sole proprietor. Licensed in Maryland and Ohio.

Licensed in
MD, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

300 Tuskegee Blvd
Dover AFB, DE 19902-5003
Phone: (302) 677-2674
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 I.2002316 (OH)
Social Worker Taxonomy 104100000X · Licence 23300 (MD)

Record details

NPI number1780172973
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedApril 24, 2018
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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