Individual provider · Type 1 NPI
Nathanael William Russell, LMSW, QMHP
Clinical Social Worker · Port Huron, MI
Practice location
2837 Walnut St
Port Huron, MI 48060-2162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106998 (MI) |
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Clinical Social Worker | 1041C0700X | 6801114888 (MI) |
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…
Another provider at this address
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About NPI 1093344681
Nathanael William Russell, LMSW, QMHP's National Provider Identifier is 1093344681, issued on Apr 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Huron, MI. The record was last updated on Jan 29, 2026.