Individual provider · Type 1 NPI

Tracy Russell, MSW, LCSW-A

Clinical Social Worker · Raleigh, NC

NPI number 1609326826 Active

Practice location

9205 Baileywick Rd
Raleigh, NC 27615-1977

Mailing address

5411 Newhall Rd
Durham, NC 27713-2523

Other practice locations

  • 5411 Newhall Rd, Durham, NC 27713-2523 · (336) 392-2639

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP010744
Clinical Social Worker Primary 1041C0700XP010744 (NC)

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 1609326826

Tracy Russell, MSW, LCSW-A's National Provider Identifier is 1609326826, issued on Oct 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 25, 2019.