Individual provider · Type 1 NPI

Stephanie Russell

Clinical Social Worker · Bethlehem, PA

NPI number 1114730322 Active

Practice location

3024 Easton Ave
Bethlehem, PA 18017-4208

Call (610) 694-1000 Map

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW025430 (PA)

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 1114730322

Stephanie Russell's National Provider Identifier is 1114730322, issued on Jan 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bethlehem, PA. The record was last updated on Mar 11, 2025.