Individual provider · Type 1 NPI

Melanie Russell, MSW, LCSW

Clinical Social Worker · Anna, IL

NPI number 1487528055 Active

Practice location

800 N Main St
Anna, IL 62906-1665

Fax (618) 833-2371

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.029169 (IL)

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 1487528055

Melanie Russell, MSW, LCSW's National Provider Identifier is 1487528055, issued on Oct 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Anna, IL. The record was last updated on Oct 6, 2025.