Individual provider · Type 1 NPI

Marquita Russell, LCSW-A

Clinical Social Worker · Gastonia, NC

NPI number 1376323667 Active

Practice location

2020 Remount Rd Ste G100
Gastonia, NC 28054-7476

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023302 (NC)

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 1376323667

Marquita Russell, LCSW-A's National Provider Identifier is 1376323667, issued on Oct 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gastonia, NC. The record was last updated on Jan 23, 2026.