Individual provider · Type 1 NPI

Tanjanique Russell

Clinical Social Worker · Hampton, VA

NPI number 1952260580 Active

Practice location

100 Emancipation Dr
Hampton, VA 23667-0001

Call (757) 722-9961 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW04006 (RI)

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 1952260580

Tanjanique Russell's National Provider Identifier is 1952260580, issued on Jan 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Jan 20, 2026.