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Mr. Randall Ancil Campbell JR., LICSW,CADC,CRSS
Clinical Social Worker in Gordo, Alabama
NPI 1366030124

Randall Ancil Campbell JR. is a Clinical Social Worker based in Tuscaloosa, AL and is specialized in Clinical. Randall Ancil Campbell JR. practices in Gordo, AL and has the professional credentials of LICSW,CADC,CRSS. The NPI Number for Randall Ancil Campbell JR. is 1366030124 and holds a License No. ADC-907 (Alabama).

The current practice location address for Randall Ancil Campbell JR. is 216 2Nd St Sw, Gordo, AL and can be reached out via phone at 205-331-3836. You can also correspond with Randall Ancil Campbell JR. through the mailing address at 1761 COMMONS NORTH LOOP UNIT 4103, TUSCALOOSA, AL - 35406-3591 (mailing address contact number: 205-394-3765).

Location: 216 2Nd St Sw, Gordo, AL, 35406-3591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366030124
Provider Name
Randall Ancil Campbell JR.
Credential
LICSW,CADC,CRSS
Provider Entity Type
Individual
Gender
Male
Address
216 2Nd St Sw, Gordo, AL, 35406-3591
Phone Number
205-331-3836
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
216 2Nd St Sw
City
Gordo
State
Alabama
Zip
35466-2221
Phone Number
205-331-3836
Fax Number
person
Provider Business Mailing Address Details
Address
216 2Nd St Sw
City
Gordo
State
Alabama
Zip
35466-2221
Phone Number
205-331-3836
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4477C (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
CRSS-0348 (Alabama)
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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
ADC-907 (Alabama)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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