Individual provider · Type 1 NPI

Judith Russell, LCSW

Clinical Social Worker · Redlands, CA

NPI number 1982999884 Active

Practice location

47 1st St
Redlands, CA 92373-4601

Call (909) 633-9683 Map

Mailing address

PO Box 5276
Crestline, CA 92325-5276

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25716 (CA)
Marriage & Family Therapist 106H00000X25716 (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 1982999884

Judith Russell, LCSW's National Provider Identifier is 1982999884, issued on Jun 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redlands, CA. The record was last updated on Jun 20, 2011.