Individual provider · Type 1 NPI

Heather Marie Russom-Earls, LCSW

Clinical Social Worker · Kennett, MO

NPI number 1447755418 Active

Practice location

935 State Route Vv
Kennett, MO 63857-3822

Call (573) 888-5925 Map

Other practice locations

  • 1891 Sunset Dr, Poplar Bluff, MO 63901-2805 · (573) 778-9185

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2020012392 (MO)
Clinical Social Worker 1041C0700X2018010403 (MO)

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 1447755418

Heather Marie Russom-Earls, LCSW's National Provider Identifier is 1447755418, issued on Mar 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennett, MO. The record was last updated on Apr 1, 2021.