NPI 1003932922
Randall Alan Pickering, LCSW
Practice location
- Address
- 1116 N 16th St, Lafayette, IN 47904-2119
- Phone
- (765) 423-6300
- Fax
- (765) 423-6301
- Mailing address
- PO Box 781076, Detroit, MI 48278-1076
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003932922
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Mar 2007
- Record last updated
- 15 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.