Individual provider · Type 1 NPI
Jessica Russell, LCSW
Clinical Social Worker · Ellington, CT
Practice location
15 Fairview Ave
Ellington, CT 06029-4218
Fax (413) 439-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 12094 (CT) |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1891196861
Jessica Russell, LCSW's National Provider Identifier is 1891196861, issued on Sep 10, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellington, CT. The record was last updated on Feb 6, 2023.