Individual provider · Type 1 NPI
Susan Marie Russell, LISW-S
Clinical Social Worker · Medina, OH
Practice location
217 W Homestead St
Medina, OH 44256-3129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I0700087 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 011327 (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…
Another provider at this address
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About NPI 1235348137
Susan Marie Russell, LISW-S's National Provider Identifier is 1235348137, issued on May 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medina, OH. The record was last updated on Sep 22, 2025.