Individual provider · Type 1 NPI

Monique Russell

Clinical Social Worker · Capitol Heights, MD

NPI number 1437650025 Active

Practice location

505 Hampton Park Blvd Ste Q
Capitol Heights, MD 20743-3862

Mailing address

75 Washington St Unit 516
Fairburn, GA 30213-3605

Other practice locations

  • 5240 Merrick Rd, Massapequa, NY 11758-6207 · (516) 590-7335

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW009661 (GA)
Social Worker 104100000X109638
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker 1041C0700X29801 (MN)
Clinical Social Worker Primary 1041C0700X099073 (NY)

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 1437650025

Monique Russell's National Provider Identifier is 1437650025, issued on Feb 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Capitol Heights, MD. The record was last updated on Jul 2, 2026.