Mr. Richard S Russell, LICSW
Social Worker, Clinical in Ipswich, Massachusetts
1609306786- Practice location
- 16 Bush Hill RD, Ipswich, MA 01938-1642
- Phone
- 978-265-4915
- Fax
- —
- Last updated
- May 31, 2020
Richard Scott Russell is a Social Worker, Clinical based in Ipswich, MA. Richard Scott Russell practices in Ipswich, MA and has the professional credentials of LICSW. The NPI Number for Richard Scott Russell is 1609306786 and holds a License No. 110341 (MA). The current practice location address for Richard Scott Russell is 16 Bush Hill RD, Ipswich, MA 01938-1642 and can be reached out via phone at 978-265-4915.
Provider Profile Details
- NPI Number
- 1609306786
- Provider Name
- Richard Scott Russell
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16 Bush Hill RD, Ipswich, MA 01938-1642
- Phone Number
- 978-265-4915
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 12, 2017
- Last Update Date
- May 31, 2020
- Certification Date
- May 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Bush Hill RD
Ipswich, MA 01938-1642 - City
- Ipswich
- State
- Massachusetts
- Zip
- 01938-1642
- Phone Number
- 978-265-4915
Provider Business Mailing Address Details
- Address
- 16 Bush Hill RD
Ipswich, MA 01938-1642 - City
- Ipswich
- State
- MA
- Zip
- 01938-1642
- Phone Number
- 978-265-4915
License Information
- License Number
- 110341
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Richard S Russell, LICSW?
The NPI number of Mr. Richard S Russell, LICSW is 1609306786. It was assigned on June 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Richard S Russell, LICSW?
Mr. Richard S Russell, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110341.
Where does Mr. Richard S Russell, LICSW practice?
The practice location is 16 Bush Hill RD, Ipswich, MA 01938-1642. The office can be reached at 978-265-4915 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609306786 directly on the NPPES registry website.