Individual provider · Type 1 NPI

Kim R. Russell, LCSW

Clinical Social Worker · Washington, NJ

NPI number 1750366597 Active

Practice location

492 Route 57 W
Washington, NJ 07882-4338

Call (908) 689-1000 Map

Fax (908) 689-4529

Mailing address

704 Spruce Hills Dr
Glen Gardner, NJ 08826-3706

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC00447000 (NJ)

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 1750366597

Kim R. Russell, LCSW's National Provider Identifier is 1750366597, issued on Dec 14, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, NJ. The record was last updated on Jul 13, 2026.