Provider Demographics
NPI:1699007351
Name:GARNER, RANDI PICKENS (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:PICKENS
Last Name:GARNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0673
Mailing Address - Country:US
Mailing Address - Phone:803-403-8469
Mailing Address - Fax:803-403-9979
Practice Address - Street 1:914 RICHLAND ST
Practice Address - Street 2:SUITE B 101
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2357
Practice Address - Country:US
Practice Address - Phone:803-403-8469
Practice Address - Fax:803-403-9979
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical