Individual provider · Type 1 NPI

Tammy Mason Russell, L.C.S.W.

Clinical Social Worker · Hampton, VA

NPI number 1770835811 Active

Practice location

77 Nealy Ave
Hampton, VA 23665-2040

Mailing address

835 Sheffield St
Hampton, VA 23666-1981

Other practice locations

  • 835 Sheffield St, Hampton, VA 23666-1981 · (757) 825-5720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904003721 (VA)

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 1770835811

Tammy Mason Russell, L.C.S.W.'s National Provider Identifier is 1770835811, issued on Oct 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Aug 14, 2025.