Individual provider · Type 1 NPI

Kelly Gravino Russell, LICSW

Clinical Social Worker · Ipswich, MA

NPI number 1336244763 Active

Practice location

16 Bush Hill Rd
Ipswich, MA 01938-1642

Call (978) 810-8397 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X110340 (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 1336244763

Kelly Gravino Russell, LICSW's National Provider Identifier is 1336244763, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ipswich, MA. The record was last updated on Jun 29, 2020.