Individual provider · Type 1 NPI

Sunny R. Russell

Clinical Social Worker · Olympia, WA

NPI number 1497191183 Active

Practice location

673 Woodland Square Loop SE Ste 330
Olympia, WA 98503-1066

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60579604 (WA)

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 1497191183

Sunny R. Russell's National Provider Identifier is 1497191183, issued on May 21, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Olympia, WA. The record was last updated on Feb 1, 2021.