National Provider Identifier Database

RANDY K SODERQUIST, LCSW – NPI #1144368010
Clinical

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.


Contact Information

RANDY K SODERQUIST, LCSW
465 SOUTH MAIN
FREDONIA, AZ86022
Phone: 928-643-6000
Fax:
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for RANDY K SODERQUIST

NPI Number 1144368010
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/02/2007
Last updated 10/12/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: LCSW-12612
  • UT License #: 131852-3501
  • AZ Other: LCSW-12612 STATE
  • UT Other: 131852-3501 STATE LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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