DR. CORLIS YVONNE RANDOLPH PH.D. NPI 1790822856

NPI Information

  • NPI: 1790822856
  • Provider Name: DR. CORLIS YVONNE RANDOLPH, PH.D.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 823 12TH ST NE
    WASHINGTON, DC
    ZIP 20002
  • Phone: (202) 397-5042

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NPI Details

DR. Corlis Yvonne Randolph, PH.D. is a clinical social worker in Washington, DC. 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. DR. Corlis Yvonne Randolph, PH.D. NPI is 1790822856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

823 12TH ST NE
WASHINGTON, DC
ZIP 20002-462
Phone: (202) 397-5042
Fax: (202) 397-1684

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/8/2007.

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 WorkerClinicalLC301584DISTRICT OF COLUMBIAYes

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: 11/21/2025

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