Randall Ancil Campbell Jr., LICSW, CADC, CRSS
NPI 1366030124ActiveIndividual· Social Worker, Clinical· Dothan, AL
Social Worker, Clinical (LICSW, CADC, CRSS) in Dothan, Alabama, licensed in AL, with an NPI issued in January 2021. Medicare paid $9,990 for services to 17 patients in 2024.
Overview
| NPI | 1366030124 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW, CADC, CRSS |
| Sole proprietor | No |
| NPI issued | Jan 7, 2021 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 4477C | AL |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | ADC-907 | AL |
| Peer Specialist | 175T00000X | CRSS-0348 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AL); Practitioner - Single Or Multispecialty Clinic Or Group Practice (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 98 across 4 procedure codes |
| Paid by Medicare | $9,990 |
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