Individual provider · Type 1 NPI

Russell Marmor

Clinical Social Worker · Appleton, WI

NPI number 1629486485 Active

Practice location

401 S Elm St
Appleton, WI 54911

Call (930) 832-5270 Map

Fax (920) 832-5488

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7737123 (WI)

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 1629486485

Russell Marmor's National Provider Identifier is 1629486485, issued on Jul 24, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Jul 24, 2014.