Individual provider · Type 1 NPI

Kristen Donna Russell, LCSW

Clinical Social Worker · Hartford, CT

NPI number 1669534624 Active

Practice location

500 Vine St, Capitol Region Mental Health Center
Hartford, CT 06112-1639

Fax (860) 297-0915

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006269 (CT)

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 1669534624

Kristen Donna Russell, LCSW's National Provider Identifier is 1669534624, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on May 5, 2016.