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Ms. Brandy Russell-mervosh, LCSW
Clinical Social Worker in Bloomington, Indiana
NPI 1275504623

Brandy Russell-mervosh is a Clinical Social Worker based in Spencer, IN and is specialized in Clinical. Brandy Russell-mervosh practices in Bloomington, IN and has the professional credentials of LCSW. The NPI Number for Brandy Russell-mervosh is 1275504623 and holds a License No. 34002977A (Indiana).

The current practice location address for Brandy Russell-mervosh is 901 S Rogers St, Bloomington, IN and can be reached out via phone at 812-323-9890 and via fax at 812-829-2596. You can also correspond with Brandy Russell-mervosh through the mailing address at PO BOX 599, SPENCER, IN - 47460-0599 (mailing address contact number: 812-829-2526).

Location: 901 S Rogers St, Bloomington, IN, 47460-0599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275504623
Provider Name
Brandy Russell-mervosh
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
901 S Rogers St, Bloomington, IN, 47460-0599
Phone Number
812-323-9890
Fax Number
812-829-2596
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7157432 01 IN AETNA
36295 01 IN CIGNA
000000210144 01 IN BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
901 S Rogers St
City
Bloomington
State
Indiana
Zip
47403-4760
Phone Number
812-323-9890
Fax Number
812-829-2596
person
Provider Business Mailing Address Details
Address
Po Box 599
City
Spencer
State
Indiana
Zip
47460-0599
Phone Number
812-829-2526
Fax Number
812-829-2596
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
34002977A (Indiana)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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