Individual provider · Type 1 NPI

Jaclyn Margaret Russell, LCSW

Clinical Social Worker · Wantagh, NY

NPI number 1891045670 Active

Practice location

1400 Wantagh Ave Ste 208
Wantagh, NY 11793-2210

Call (516) 209-8533 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X083040-1 (NY)

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 1891045670

Jaclyn Margaret Russell, LCSW's National Provider Identifier is 1891045670, issued on Sep 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wantagh, NY. The record was last updated on Feb 28, 2023.