Individual provider · Type 1 NPI

Brandy Russell-Mervosh, LCSW

Clinical Social Worker · Bloomington, IN

NPI number 1275504623 Active

Practice location

901 S Rogers St
Bloomington, IN 47403-4760

Call (812) 323-9890 Map

Fax (812) 829-2596

Mailing address

PO Box 599
Spencer, IN 47460-0599

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34002977A (IN)

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 1275504623

Brandy Russell-Mervosh, LCSW's National Provider Identifier is 1275504623, issued on Feb 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Feb 17, 2017.