MR. RANDALL ALAN CLIFFORD (NPI# 1841388550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841388550 |
| Entity Type | Individual |
| Full Name | MR. RANDALL ALAN CLIFFORD |
| Credential | LPC, LCSW |
| Practice Address |
4501 Maccorkle Ave Sw Ste 103 South Charleston WV 25309-1444 |
| Mailing Address |
2262 Circle Dr Milton WV 25541-1004 |
| Practice Telephone | 3047681401 |
| Practice Fax Number | 3047681402 |
| Mailing Telephone | 3047681401 |
| Mailing Fax Number | 3047681402 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
94 | WV | Behavioral Health & Social Service Providers |
| Street Address |
4501 MACCORKLE AVE SW STE 103 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639243 | Larry Douglas Curnutte | Obstetrics & Gynecology | 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 | 2005-09-16 |
| 1821453192 | Bee Well Pharmacy Inc. | Pharmacy | 4501 Maccorkle Ave Sw, South Charleston, WV 25309-1444 | 2015-12-30 |
| 1811161524 | Woman Care Clinic Inc | Obstetrics & Gynecology | 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 | 2008-04-15 |
| 1215126990 | Comprecare Services, Inc | Durable Medical Equipment & Medical Supplies | 4501 Maccorkle Ave Sw, Suite 101, South Charleston, WV 25309-1444 | 2007-10-18 |
| 1649476169 | Michael L. Harris Md, Ltd | Eyewear Supplier (Equipment, not the service) | 4501 Maccorkle Ave Sw, Suite 500, South Charleston, WV 25309-1444 | 2007-06-22 |
| 1952429813 | Mouwafak Ghannam | Specialist | 4501 Maccorkle Ave Sw, Suite 401, South Charleston, WV 25309-1444 | 2007-03-27 |
| 1174649347 | Metamorphosis Counseling, Inc | Counselor | 4501 Maccorkle Ave Sw, Suite 103, South Charleston, WV 25309-1444 | 2007-03-21 |
| 1790819373 | Prestige Primary Care Associates, Pllc | Internal Medicine | 4501 Maccorkle Ave Sw, Suite 301, South Charleston, WV 25309-1444 | 2007-03-15 |
| 1841373529 | Gary D Harris | Audiologist | 4501 Maccorkle Ave Sw, Suite 402, South Charleston, WV 25309-1444 | 2006-10-24 |
| 1730260399 | Michael L. Harris, M.d., Ltd. | Ophthalmology | 4501 Maccorkle Ave Sw, Suite 500, South Charleston, WV 25309-1444 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126440 | Stephanie Knight Clarke | Counselor | 300 Shepherd Ave, South Charleston, WV 25303-1729 | 2012-09-19 |
| 1003415282 | William L. Tanzey II | Counselor | 509 2nd Ave, South Charleston, WV 25303-1310 | 2020-10-20 |
| 1801438791 | Sherrie Ann Stewart | Counselor | 312 6th Ave Ste 2, South Charleston, WV 25303-1265 | 2019-10-11 |
| 1902230980 | Mindy Sue Stanley | Counselor | 312 6th Ave Ste 2, South Charleston, WV 25303-1265 | 2013-08-27 |
| 1487897229 | Tonia M. Jones | Counselor | 312 6th Ave, Suite 2, South Charleston, WV 25303-1265 | 2009-04-09 |
| 1174649347 | Metamorphosis Counseling, Inc | Counselor | 4501 Maccorkle Ave Sw, Suite 103, South Charleston, WV 25309-1444 | 2007-03-21 |
| 1760537807 | William Mason Light | Counselor | 4857 Maccorkle Ave Sw, South Charleston, WV 25309-1331 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902348 | Evangeline Miller Reed | Counselor | 525 Dry Hill Rd, Beckley, WV 25801-2027 | 2020-11-03 |
| 1154921013 | Lakiah Edwin-bankston | Counselor | 92 9th St, Beckley, WV 25801-3900 | 2020-10-29 |
| 1124628151 | Kierra Alexis Coles | Counselor | 206 W Burke St, Martinsburg, WV 25401-3322 | 2020-10-28 |
| 1801406574 | Amber Lynn Dingess | Counselor | 72 Drew Drive, Chapmanville, WV 25508-1061 | 2020-08-06 |
| 1679183677 | Tracy Wolford | Counselor | 203 Main Ave, Logan, WV 25601-3311 | 2020-08-04 |
| 1285261271 | Carol Ann Lewis | Counselor | 158 Academy Lane, Route 3, Pence Springs, WV 24962-2496 | 2020-03-27 |
| 1235765926 | Sydney Menigoz | Counselor | 235 High St Ste 606, Morgantown, WV 26505-5429 | 2020-03-13 |
| 1265068001 | Rainelle Medical Center, Inc | Counselor | 149 Goheen St, Lewisburg, WV 24901-1661 | 2020-03-12 |
| 1760013783 | Vanesa Marie Stover | Counselor | 70 Limeberger Creek Rd, Poca, WV 25159-7228 | 2020-01-29 |
| 1285264572 | Hometown Healing, LLC | Counselor | 3790 Hedgesville Rd # Sectionk, Hedgesville, WV 25427-6704 | 2020-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.