Individual provider · Type 1 NPI

Amanda Russell, CSW

Clinical Social Worker · Slc, UT

NPI number 1699730952 Active

Practice location

1578 W 1700 S, #200
Slc, UT 84104-3470

Call (801) 972-2711 Map

Fax (801) 972-2709

Mailing address

2828 S 1000 E
Slc, UT 84106-2278

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5922570-3502 (UT)
Clinical Social Worker Primary 1041C0700X5922570-3501 (UT)

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 1699730952

Amanda Russell, CSW's National Provider Identifier is 1699730952, issued on Apr 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Slc, UT. The record was last updated on Feb 25, 2022.