Provider Demographics
NPI:1073821930
Name:MCDOWALL, RANDI LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:LYNN
Last Name:MCDOWALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5807
Mailing Address - Country:US
Mailing Address - Phone:941-953-4313
Mailing Address - Fax:941-954-8631
Practice Address - Street 1:100 N WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5807
Practice Address - Country:US
Practice Address - Phone:941-953-4313
Practice Address - Fax:941-954-8631
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 50491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical