Individual provider · Type 1 NPI
Kathleen Russell, CSWA
Clinical Social Worker · Portland, OR
Practice location
7700 SW Garden Home Rd Apt 23
Portland, OR 97223-7496
Mailing address
4931 SW 76th Ave # 128
Portland, OR 97225-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | A5050 (OR) |
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 1063012649
Kathleen Russell, CSWA's National Provider Identifier is 1063012649, issued on Oct 31, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2020.