Individual provider · Type 1 NPI

Ellen Russin J. Russin, LCSW

Clinical Social Worker · Palo Alto, CA

NPI number 1891821963 Active

Practice location

667 Lytton Ave
Palo Alto, CA 94301-1335

Call (650) 566-0061 Map

Fax (650) 473-6801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS6935 (CA)

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 1891821963

Ellen Russin J. Russin, LCSW's National Provider Identifier is 1891821963, issued on Feb 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 8, 2007.