Individual provider · Type 1 NPI

Simone Russell

Clinical Social Worker · Provo, UT

NPI number 1750147732 Active

Practice location

4626 N 300 W Ste 150
Provo, UT 84604-6077

Call (801) 407-4134 Map

Fax (801) 877-0864

Mailing address

PO Box 50207
Provo, UT 84605-0207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12933011-3502 (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 1750147732

Simone Russell's National Provider Identifier is 1750147732, issued on Feb 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Feb 26, 2024.