Individual provider · Type 1 NPI

Nicole Russell

Clinical Social Worker · Brown Deer, WI

NPI number 1255168795 Active

Practice location

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220

Call (414) 540-2170 Map

Fax (414) 540-2717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X135135 (WI)

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 1255168795

Nicole Russell's National Provider Identifier is 1255168795, issued on Sep 18, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brown Deer, WI. The record was last updated on Sep 18, 2024.