Individual provider · Type 1 NPI

Russell Teal Bailiff, LCSW

Clinical Social Worker · Lindale, TX

NPI number 1831267699 Active

Practice location

716 Linus Ln
Lindale, TX 75771-6626

Mailing address

PO Box 726
Lindale, TX 75771-0726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29264 (TX)

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 1831267699

Russell Teal Bailiff, LCSW's National Provider Identifier is 1831267699, issued on Dec 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lindale, TX. The record was last updated on May 25, 2016.