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

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: July 19, 2026.

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

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
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

Accepted 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 2024 & 2026 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.

Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303
Nurse Practitioner (Primary Care)
212 W TROY ST STE B
DOTHAN, AL 36303
Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303
Clinic/Center
212 W TROY ST STE B
DOTHAN, AL 36303
Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303
Psychologist
212 W TROY ST STE B
DOTHAN, AL 36303
Home Health
212 W TROY ST STE B
DOTHAN, AL 36303
Clinic/Center (Mental Health (Including Community Mental Health Center))
212 W TROY ST STE B
DOTHAN, AL 36303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366030124, enumerated as an "individual" on January 07, 2021.

The provider is located at 212 W TROY ST STE B DOTHAN, AL 36303 and the phone number is (205) 394-3765.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.