RANDALL E. CLECKLER LCSW – NPI #1922152586
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

RANDALL CLECKLER is an AHC clinic located in FORT PAYNE, AL. NPPES has assigned the NPI number 1922152586 to RANDALL CLECKLER on January 22, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 18 years ago on Jul 10, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL CLECKLER below.

NPI Profile for
RANDALL E. CLECKLER

NPI Number
1922152586
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL E. CLECKLER
Credentials
LCSW
Primary location
300 GAULT AVE S
FORT PAYNE, AL 35968
Phone: (256) 997-9356 Fax: (256) 997-9314
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RANDALL CLECKLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF AL PROVIDERAL51550439CLE
MEDICAIDAL51550439
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
AL 1167C
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
AL 1167C

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.