Individual provider · Type 1 NPI

Shelly Russell, LCSW

Clinical Social Worker · Austin, TX

NPI number 1043586860 Active

Practice location

5013 Westview Dr
Austin, TX 78731-4741

Fax (512) 453-2838

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21305 (TX)

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 1043586860

Shelly Russell, LCSW's National Provider Identifier is 1043586860, issued on Mar 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Mar 26, 2012.