MR. RANDALL ANCIL CAMPBELL JR. LICSW, CADC, CRSS
NPI 1366030124
Social Worker - Clinical in Dothan, AL

Q: What is Randall Campbell's NPI number?

The NPI number for Randall Campbell is 1366030124. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is Randall Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randall Campbell was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since January 07, 2021PECOS Enrolled

212 W TROY ST STE B, DOTHAN, AL 36303(205) 394-3765 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Jan 7, 2021 (2 updates tracked since 2021).

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About Mr. Randall Ancil Campbell Jr. Licsw, Cadc, Crss NPPES

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

MR. RANDALL ANCIL CAMPBELL JR. LICSW, CADC, CRSS (NPI 1366030124) is an individual clinical provider in Dothan, Alabama, licensed in Alabama (4477C) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366030124

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RANDALL ANCIL CAMPBELL JR.Credential: LICSW, CADC, CRSS

Location Address212 W TROY ST STE BDothan, AL 36303-4455

Mailing Address212 W Troy St Ste BDothan, AL 36303-4455 · (205) 394-3765

Phone(205) 394-3765

Sole ProprietorNo

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1366030124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in AL · 4477C

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ADC-907 (AL)

Also ListedPeer SpecialistTaxonomy 175T00000X · License CRSS-0348 (AL)

212 W TROY ST STE B, Dothan, AL 36303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randall Ancil Campbell Jr. Licsw, Cadc, Crss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

88 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.65 – $161.63

Typical copayment $0.00 (range $13.16 – $40.40)

Most-billed visit code NA

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PRECISION WOUND CARE LLC

Clinic/Center