RANDELL WILSON LCSW LSCSW NPI 1730260290

NPI Information

  • NPI: 1730260290
  • Provider Name: RANDELL WILSON, LCSW, LSCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16602 COLD HARBOR LN
    HOUSTON, TX
    ZIP 77083
  • Phone: (913) 206-1554

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NPI Details

Randell Wilson, LCSW, LSCSW is a clinical social worker in Houston, TX. The provider is 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. Randell Wilson, LCSW, LSCSW NPI is 1730260290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16602 COLD HARBOR LN
HOUSTON, TX
ZIP 77083-204
Phone: (913) 206-1554

The NPI 1730260290 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical2001027963MISSOURINo
21041C0700XSocial WorkerClinical2204KANSASNo
31041C0700XSocial WorkerClinical58189TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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