ANDREA RUSSELL LCSW
NPI 1124306576
Social Worker - Clinical in Louisville, KY

Q: What is Andrea Russell's NPI number?

The NPI number for Andrea Russell is 1124306576. It was assigned to this individual provider in the NPPES registry on August 2, 2011. The provider is also known as Andrea Jones Lcsw.

Q: What is Andrea Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Russell was last updated on February 4, 2021. 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.

Active since August 02, 2011

1436 S SHELBY ST, LOUISVILLE, KY 40217(502) 636-0771 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Jan 21, 2021, Oct 15, 2020 (3 updates tracked since 2020).

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About Andrea Russell Lcsw NPPES

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

ANDREA RUSSELL LCSW (NPI 1124306576) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (255251) and active in the NPI registry since August 2011. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1124306576

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDREA RUSSELLCredential: LCSW

Location Address1436 S SHELBY STLouisville, KY 40217-1195

Mailing Address1436 S Shelby StLouisville, KY 40217-1107 · (502) 636-0771

Phone(502) 636-0771

Sole ProprietorNo

Enumeration DateAugust 2, 2011

Last NPPES UpdateFebruary 4, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2021

✔ NPI 1124306576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 255251

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1436 S SHELBY ST, Louisville, KY 40217

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Other Names 1

Professional Name (2)Andrea Jones Lcsw

Secondary Practice Location 1

Location 1600 S Preston StLouisville, KY 40202-1716 · Phone (502) 589-8600 ext. 1275 · Fax (502) 589-8771

Other Providers at the Same Location NPPES 20

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

VOLUNTEERS OF AMERICA MID-STATES

Community/Behavioral Health