MR. BILLY DEAN RANDOLPH II LCSW
NPI 1033602339
Social Worker - Clinical in Fort Campbell, KY

Active since June 11, 2018
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Sep 9, 2024, Jun 11, 2018 (3 updates tracked since 2018).

About Mr. Billy Dean Randolph Ii Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BILLY DEAN RANDOLPH II LCSW (NPI 1033602339) is an individual clinical provider in Fort Campbell, Kentucky, licensed in Tennessee (9730) and active in the NPI registry since June 2018. He maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1033602339
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BILLY DEAN RANDOLPH IICredential: LCSW
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400
Sole ProprietorNo
Enumeration DateJune 11, 2018
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1033602339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TN · 9730
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
650 JOEL DR, Fort Campbell, KY 42223

Secondary Practice Location 1

Location 1919 Tiny Town Rd, Unit B PMB 1068Clarksville, TN 37042 · Phone (301) 378-4494

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billy Randolph's NPI number?

The NPI number for Billy Randolph is 1033602339. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Billy Randolph located?

Billy Randolph practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.

What is Billy Randolph's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Billy Randolph was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.