Individual provider · Type 1 NPI
Nancy Rae Russell, LCSW
Clinical Social Worker · St. Petersburg, FL
Practice location
6737 1st Ave S
St. Petersburg, FL 33707-1307
Fax (727) 341-1000
Mailing address
6739 1st Ave S
St. Petersburg, FL 33707-1307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW6791 (FL) |
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 1003942962
Nancy Rae Russell, LCSW's National Provider Identifier is 1003942962, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 22, 2012.