RANDY K SODERQUIST LCSW
NPI 1144368010
Social Worker - Clinical in Fredonia, AZ

Active since February 02, 2007
465 SOUTH MAIN, FREDONIA, AZ 86022(928) 643-6000 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randy K Soderquist Lcsw NPPES

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

RANDY K SODERQUIST LCSW (NPI 1144368010) is an individual clinical provider in Fredonia, Arizona, licensed in Utah (131852-3501) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1144368010
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDY K SODERQUISTCredential: LCSW
Location Address465 SOUTH MAINFredonia, AZ 86022
Mailing Address465 South Main, P.o. Box 710Fredonia, AZ 86022 · (928) 643-6000
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 12, 2012
NPI 1144368010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in UT · 131852-3501 Licensed in AZ · LCSW-12612
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.

465 SOUTH MAIN, Fredonia, AZ 86022

Other Identifiers 2

OtherLCSW-12612AZ · State
Other131852-3501UT · State License

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 Randy Soderquist's NPI number?

The NPI number for Randy Soderquist is 1144368010. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Randy Soderquist located?

Randy Soderquist practices at 465 South Main, Fredonia, AZ 86022. The listed phone number is (928) 643-6000.

What is Randy Soderquist'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 Randy Soderquist was last updated on October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.