Individual provider · Type 1 NPI

Russell Needham, M.S.W.

Clinical Social Worker · New York, NY

NPI number 1659409985 Active

Practice location

322 8th Ave, Suite 802
New York, NY 10001-8001

Fax (212) 243-3175

Mailing address

414 W 54th St, Apartment 3D
New York, NY 10019-4442

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR0L8369L (NY)

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 1659409985

Russell Needham, M.S.W.'s National Provider Identifier is 1659409985, issued on Feb 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.