Individual provider · Type 1 NPI

Andrea Russell, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1124306576 Active

Practice location

1436 S Shelby St
Louisville, KY 40217-1195

Call (502) 636-0771 Map

Other practice locations

  • 600 S Preston St, Louisville, KY 40202-1716 · (502) 589-8600

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X255251 (KY)

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 1124306576

Andrea Russell, LCSW's National Provider Identifier is 1124306576, issued on Aug 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Feb 4, 2021.