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DR. CORLIS YVONNE RANDOLPH PH.D.
NPI 1790822856
Social Worker - Clinical in Washington, DC

Active since January 30, 2007
823 12TH ST NE, WASHINGTON, DC 20002(202) 397-5042(202) 397-1684 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Corlis Yvonne Randolph Ph.d. NPPES

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

DR. CORLIS YVONNE RANDOLPH PH.D. (NPI 1790822856) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC301584) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1790822856
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. CORLIS YVONNE RANDOLPHCredential: PH.D.
Location Address823 12TH ST NEWashington, DC 20002-4462
Mailing Address823 12th St NeWashington, DC 20002-4462 · (202) 397-5042 · Fax (202) 397-1684
Phone(202) 397-5042
Fax(202) 397-1684
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790822856 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 DC · LC301584
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.
823 12TH ST NE, Washington, DC 20002
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Other Names 1

Former Name (1)Corlis Randolph Jeffress Msw

Other Providers at the Same Location NPPES

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

THERAPEUTIC TRANSITIONS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
823 12TH ST NE
WASHINGTON, DC 20002
District of Columbia (202) 397-5042

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 Corlis Randolph's NPI number?

The NPI number for Corlis Randolph is 1790822856. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Corlis Randolph Jeffress Msw.

Where is Corlis Randolph located?

Corlis Randolph practices at 823 12th St NE, Washington, DC 20002. The listed phone number is (202) 397-5042.

What is Corlis 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 Corlis Randolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.