Individual provider · Type 1 NPI

Gay Russell, LCSW

Clinical Social Worker · Bloomingdale, IL

NPI number 1013039502 Active

Practice location

148 S Bloomingdale Rd, Suite 112
Bloomingdale, IL 60108

Fax (630) 894-2876

Mailing address

904 S Roselle Road Unit 364
Schaumburg, IL 60193

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149011209 (IL)

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 1013039502

Gay Russell, LCSW's National Provider Identifier is 1013039502, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomingdale, IL. The record was last updated on Nov 5, 2020.