Jessica Russell, LCSW
Social Worker, Clinical in Ellington, Connecticut
1891196861- Practice location
- 15 Fairview Ave, Ellington, CT 06029-4218
- Phone
- 860-559-7478
- Fax
- 413-439-0100
- Last updated
- February 6, 2023
Jessica Russell is a Social Worker, Clinical based in Ellington, CT. Jessica Russell practices in Ellington, CT and has the professional credentials of LCSW. The NPI Number for Jessica Russell is 1891196861 and holds a License No. 12094 (CT). The current practice location address for Jessica Russell is 15 Fairview Ave, Ellington, CT 06029-4218 and can be reached out via phone at 860-559-7478 and via fax at 413-439-0100.
Provider Profile Details
- NPI Number
- 1891196861
- Provider Name
- Jessica Russell
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Fairview Ave, Ellington, CT 06029-4218
- Phone Number
- 860-559-7478
- Fax Number
- 413-439-0100
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2014
- Last Update Date
- February 6, 2023
- Certification Date
- February 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Fairview Ave
Ellington, CT 06029-4218 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-4218
- Phone Number
- 860-559-7478
- Fax Number
- 413-439-0100
Provider Business Mailing Address Details
- Address
- 15 Fairview Ave
Ellington, CT 06029-4218 - City
- Ellington
- State
- CT
- Zip
- 06029-4218
- Phone Number
- 860-559-7478
- Fax Number
- 413-439-0100
License Information
- License Number (1)
- 12094
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- 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. | |||
Other Social Worker, Clinical providers near Ellington, CT
View all Social Worker, Clinical providers in Ellington →- Bloomwell Counseling PLLCSocial Worker, Clinical · NPI 1831054873
- Diane Madore, LCSWSocial Worker, Clinical · NPI 1255208278
- Dr. Karen Mcdaniel, PHDSocial Worker, Clinical · NPI 1386829612
- Emotional Revival LLCSocial Worker, Clinical · NPI 1972211563
- Inward Path Therapeutic Services LLCSocial Worker, Clinical · NPI 1336087790
- Julia B PageSocial Worker, Clinical · NPI 1912437542
Frequently Asked Questions
What is the NPI number of Jessica Russell, LCSW?
The NPI number of Jessica Russell, LCSW is 1891196861. It was assigned on September 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Jessica Russell, LCSW?
Jessica Russell, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 12094.
Where does Jessica Russell, LCSW practice?
The practice location is 15 Fairview Ave, Ellington, CT 06029-4218. The office can be reached at 860-559-7478 (phone) or 413-439-0100 (fax).
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 1891196861 directly on the NPPES registry website.