Individual provider · Type 1 NPI

Kathryn Russell, LCSW

Clinical Social Worker · Homewood, IL

NPI number 1881265262 Active

Practice location

900 Ridge Rd
Homewood, IL 60430-1933

Call (708) 637-1672 Map

Mailing address

900 Ridge Rd Ste 1S
Homewood, IL 60430-1934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X33516 (IL)
Mental Health Counselor 101YM0800X149.023181 (IL)
Clinical Social Worker Primary 1041C0700X149.023181 (IL)

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 1881265262

Kathryn Russell, LCSW's National Provider Identifier is 1881265262, issued on Jul 7, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Homewood, IL. The record was last updated on Aug 9, 2021.