Individual provider · Type 1 NPI

Tracey Russell, LMSW

Clinical Social Worker · Forrest City, AR

NPI number 1609018779 Active

Practice location

1825 E Broadway St
Forrest City, AR 72335-3409

Call (870) 630-2328 Map

Fax (870) 630-2348

Mailing address

210 Manor St
Marion, AR 72364-1936

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1609018779

Tracey Russell, LMSW's National Provider Identifier is 1609018779, issued on Apr 3, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forrest City, AR. The record was last updated on Apr 3, 2009.