Individual provider · Type 1 NPI

Theresa Russell, LCSW

Clinical Social Worker · Boynton Beach, FL

NPI number 1295266674 Active

Practice location

350 N Federal Hwy, 715
Boynton Beach, FL 33435-4171

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12181 (FL)
Clinical Social Worker 1041C0700XR053958-1 (NY)

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 1295266674

Theresa Russell, LCSW's National Provider Identifier is 1295266674, issued on Mar 27, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boynton Beach, FL. The record was last updated on Mar 27, 2017.