Individual provider · Type 1 NPI

Imani Russell, LLMSW

Clinical Social Worker · Detroit, MI

NPI number 1265396139 Active

Practice location

7310 Woodward Ave Ste 601
Detroit, MI 48202-3165

Call (313) 896-1444 Map

Fax (313) 896-1466

Mailing address

680 Hazelwood St Apt 4
Detroit, MI 48202-1716

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851118559 (MI)

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 1265396139

Imani Russell, LLMSW's National Provider Identifier is 1265396139, issued on Dec 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Dec 15, 2025.