Individual provider · Type 1 NPI

Jennifer Russell

Clinical Social Worker · Everett, WA

NPI number 1497107072 Active

Practice location

2802 Broadway
Everett, WA 98201-3642

Call (425) 259-3191 Map

Mailing address

6242 Pelican Ridge Way
League City, TX 77573

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904017993 (VA)

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 1497107072

Jennifer Russell's National Provider Identifier is 1497107072, issued on Jul 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Everett, WA. The record was last updated on Jun 30, 2025.