Individual provider · Type 1 NPI

Teshera Chervelle Russell, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1902404544 Active

Practice location

1523 Unionport Rd Apt 6F
Bronx, NY 10462-7729

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X101063 (NY)
Clinical Social Worker Primary 1041C0700X090635 (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 1902404544

Teshera Chervelle Russell, LCSW's National Provider Identifier is 1902404544, issued on Oct 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on May 20, 2024.