Individual provider · Type 1 NPI

Russell Lee Price Jr., LCSW

Clinical Social Worker · South Bend, IN

NPI number 1407288301 Active

Practice location

Va Northern Indiana Healthcare System-South Bend Annex, 340 Columbia Place
South Bend, IN 46601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3821 (KY)

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 1407288301

Russell Lee Price Jr., LCSW's National Provider Identifier is 1407288301, issued on Aug 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Oct 13, 2021.