Individual provider · Type 1 NPI

Regina Russell, LCSW

Clinical Social Worker · Bolivar, MO

NPI number 1003886276 Active

Practice location

315 S Main Ave
Bolivar, MO 65613-2052

Call (417) 326-2902 Map

Fax (417) 326-4555

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004758 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003886276

Regina Russell, LCSW's National Provider Identifier is 1003886276, issued on Jan 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bolivar, MO. The record was last updated on Jul 8, 2007.