Individual provider · Type 1 NPI

Jai Kieron Rene Russell, LCSW

Clinical Social Worker · Bozeman, MT

NPI number 1972162683 Active

Practice location

2135 Charlotte St Ste 2
Bozeman, MT 59718-2741

Call (206) 930-8970 Map

Mailing address

PO Box 385
Bozeman, MT 59771-0385

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	BBH-LCSW-LIC-38038 (MT)

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 1972162683

Jai Kieron Rene Russell, LCSW's National Provider Identifier is 1972162683, issued on Jun 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bozeman, MT. The record was last updated on Dec 8, 2021.