Individual provider · Type 1 NPI

Thomas Charles Russell Sr., SOCIAL WORK

Clinical Social Worker · Richfield, UT

NPI number 1235957044 Active

Practice location

449 N Sr 118
Richfield, UT 84701-2378

Call (435) 201-9389 Map

Mailing address

195 N 1950 W
Salt Lake City, UT 84116-3100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW-15843 (AZ)
Clinical Social Worker Primary 1041C0700X12282390-3501 (UT)

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 1235957044

Thomas Charles Russell Sr., SOCIAL WORK's National Provider Identifier is 1235957044, issued on Sep 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richfield, UT. The record was last updated on Sep 30, 2024.