Individual provider · Type 1 NPI
Jesse Richards Russell, L.C.S.W.
Clinical Social Worker · Freeport, ME
Practice location
106 Maquoit Dr
Freeport, ME 04032-6320
Mailing address
PO Box 597
Freeport, ME 04032-0597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC 5397 (ME) |
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 1235319880
Jesse Richards Russell, L.C.S.W.'s National Provider Identifier is 1235319880, issued on Nov 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Freeport, ME. The record was last updated on Sep 10, 2025.