Individual provider · Type 1 NPI

Olivia B. Russell, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1083199251 Active

Practice location

4735 Statesmen Dr Ste A
Indianapolis, IN 46250-5647

Fax (317) 452-8821

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008255A (IN)

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 1083199251

Olivia B. Russell, LCSW's National Provider Identifier is 1083199251, issued on Oct 3, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 29, 2024.