Individual provider · Type 1 NPI

Jacqueline A. Russell, LMSW

Clinical Social Worker · New Haven, CT

NPI number 1871003343 Active

Practice location

54 E Ramsdell St
New Haven, CT 06515-1140

Call (203) 781-4600 Map

Fax (203) 781-4624

Mailing address

1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946

Other practice locations

  • 270 John Downey Dr, New Britain, CT 06051-2906 · (860) 229-4830

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X3616 (CT)
Clinical Social Worker Primary 1041C0700X11082 (CT)

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 1871003343

Jacqueline A. Russell, LMSW's National Provider Identifier is 1871003343, issued on Oct 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Aug 6, 2020.