Organization · Type 2 NPI

Diane G Russell Therapy Services LLC

Clinical Social Worker · Northville, MI

NPI number 1184969719 Active

Practice location

640 Griswold St, Suite 300
Northville, MI 48167-1690

Fax (586) 773-6093

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6801066657 (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…

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About NPI 1184969719

Diane G Russell Therapy Services LLC's National Provider Identifier is 1184969719, issued on Dec 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northville, MI. The record was last updated on Dec 7, 2012.