TINA NICOLE RANDOLPH LISW
NPI 1780172973
Social Worker - Clinical in Dover Afb, DE

Active since April 24, 2018
300 TUSKEGEE BLVD, DOVER AFB, DE 19902(302) 677-2674 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2021, Apr 24, 2018 (2 updates tracked since 2018).

About Tina Nicole Randolph Lisw NPPES

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

TINA NICOLE RANDOLPH LISW (NPI 1780172973) is an individual clinical provider in Dover Afb, Delaware, licensed in Ohio (I.2002316) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1780172973
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA NICOLE RANDOLPHCredential: LISW
Location Address300 TUSKEGEE BLVDDover Afb, DE 19902-5003
Mailing Address300 Tuskegee BlvdDover Afb, DE 19902-5003 · (302) 677-2674
Sole ProprietorYes
Enumeration DateApril 24, 2018
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
NPI 1780172973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.2002316
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 ListedSocial WorkerTaxonomy 104100000X · License 23300 (MD)
300 TUSKEGEE BLVD, Dover Afb, DE 19902

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.

Pediatrics
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Physical Therapist
300 TUSKEGEE BLVD
DOVER, DE 19902
Family Medicine
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Dentist (General Practice)
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Pharmacist
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Family Medicine
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Physician Assistant
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Nurse Practitioner (Psychiatric/Mental Health)
300 TUSKEGEE BLVD
DOVER AFB, DE 19902

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 Tina Randolph's NPI number?

The NPI number for Tina Randolph is 1780172973. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Tina Randolph located?

Tina Randolph practices at 300 Tuskegee Blvd, Dover Afb, DE 19902. The listed phone number is (302) 677-2674.

What is Tina 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 Tina Randolph was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.