Individual provider · Type 1 NPI

Jessica Nicole Jack Russell, LISW

Clinical Social Worker · Warren, OH

NPI number 1184776692 Active

Practice location

425 Niles Cortland Rd SE
Warren, OH 44484-2478

Mailing address

4206 Hopkins Rd
Youngstown, OH 44511-3710

Other practice locations

  • 3 Kensington Sq, Suite B, New Kensington, PA 15068-6443 · (724) 335-9733

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1901879 (OH)

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…

3 other providers at this address

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About NPI 1184776692

Jessica Nicole Jack Russell, LISW's National Provider Identifier is 1184776692, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Warren, OH. The record was last updated on Nov 4, 2019.