KATHLEEN RUSSELL CSWA
NPI 1063012649
Social Worker - Clinical in Portland, OR

Active since October 31, 2020
7700 SW GARDEN HOME RD APT 23, PORTLAND, OR 97223(503) 572-9340 Get Directions Write a Review

NPPES record last updated: October 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Russell Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN RUSSELL CSWA (NPI 1063012649) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A5050) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063012649
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN RUSSELLCredential: CSWA
Location Address7700 SW GARDEN HOME RD APT 23Portland, OR 97223-7496
Mailing Address4931 Sw 76th Ave # 128Portland, OR 97225-1805 · (503) 572-9340
Sole ProprietorYes
Enumeration DateOctober 31, 2020
NPPES CertifiedOctober 30, 2020
NPI 1063012649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · A5050
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.
7700 SW GARDEN HOME RD APT 23, Portland, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Russell's NPI number?

The NPI number for Kathleen Russell is 1063012649. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Where is Kathleen Russell located?

Kathleen Russell practices at 7700 SW Garden Home Rd Apt 23, Portland, OR 97223. The listed phone number is (503) 572-9340.

What is Kathleen Russell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Russell was last updated on October 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.