TABITHA LYNN RUSS MSW, LCSWA
NPI 1104711357
Social Worker - Clinical in Fayetteville, NC

Active since June 10, 2025
951 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303(910) 849-3399(910) 900-0913 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tabitha Lynn Russ Msw, Lcswa NPPES

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

TABITHA LYNN RUSS MSW, LCSWA (NPI 1104711357) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P021883) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104711357
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTABITHA LYNN RUSSCredential: MSW, LCSWA
Location Address951 S MCPHERSON CHURCH RDFayetteville, NC 28303-5184
Mailing Address951 S Mcpherson Church RdFayetteville, NC 28303-5184 · (910) 849-3399 · Fax (910) 900-0913
Fax(910) 900-0913
Sole ProprietorYes
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1104711357 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 NC · P021883
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.
951 S MCPHERSON CHURCH RD, Fayetteville, NC 28303

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
951 S MCPHERSON CHURCH RD
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
951 S MCPHERSON CHURCH RD
FAYETTEVILLE, NC 28303

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 Tabitha Russ's NPI number?

The NPI number for Tabitha Russ is 1104711357. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Tabitha Russ located?

Tabitha Russ practices at 951 S Mcpherson Church Rd, Fayetteville, NC 28303. The listed phone number is (910) 849-3399.

What is Tabitha Russ'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 Tabitha Russ was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.