Individual provider · Type 1 NPI

Andrea Russell, LICSW

Clinical Social Worker · Taunton, MA

NPI number 1396948667 Active

Practice location

1 Washington St
Taunton, MA 02780-3960

Mailing address

65 E Washington St
North Attleboro, MA 02760-2330

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1396948667

Andrea Russell, LICSW's National Provider Identifier is 1396948667, issued on Jun 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taunton, MA. The record was last updated on Nov 26, 2012.