Whalio Doctors

NPI 1003932922

Randall Alan Pickering, LCSW

Practitioner Clinical Social Worker Lafayette, IN

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34003281A (IN)

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.