Individual provider · Type 1 NPI

Michael Russell, LCSW

Clinical Social Worker · White Plains, NY

NPI number 1255711396 Active

Practice location

75 S Broadway Ste 400
White Plains, NY 10601-4413

Fax (914) 342-7021

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1255711396

Michael Russell, LCSW's National Provider Identifier is 1255711396, issued on Jun 3, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in White Plains, NY. The record was last updated on Dec 31, 2020.