Randall Carmack, LSW is a
Social Worker - Clinical based in Dayton, Ohio. Randall Carmack is licensed to practice in Ohio (license number S.2005634) and his current practice location is
1 Elizabeth Pl Fl 3, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 815-6233.
NPI number for Randall Carmack is 1255849758 and his current mailing address is 3103 Dixie Hwy, Hamilton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255849758.
Healthcare Provider's Profile
Full Name | Randall Carmack |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1 Elizabeth Pl Fl 3, Dayton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255849758
- Provider Enumeration Date: 01/18/2018
- Last Update Date: 05/03/2023
Medical Identifiers
Medical identifiers for Randall Carmack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255849758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 162422 (Ohio) | Secondary |
175T00000X | Peer Specialist | APS.000660 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | S.2005634 (Ohio) | Primary |
101Y00000X | Counselor | LCDCIII.162264 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Carmack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Randall Carmack, LSW 3103 Dixie Hwy, Hamilton, OH 45015-1653 Ph: (513) 892-4673 | Randall Carmack, LSW 1 Elizabeth Pl Fl 3, Dayton, OH 45417-3445 Ph: (937) 815-6233 |
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