Individual provider · Type 1 NPI

Leslie Russell, LICSW

Clinical Social Worker · Peabody, MA

NPI number 1316998628 Active

Practice location

3 Essex Green Dr, Suite One
Peabody, MA 01960-2913

Call (978) 979-5371 Map

Fax (978) 532-6366

Mailing address

16 Memorial Dr
Salem, MA 01970-5262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113113 (MA)

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 1316998628

Leslie Russell, LICSW's National Provider Identifier is 1316998628, issued on May 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peabody, MA. The record was last updated on Jul 13, 2026.