MS. BRANDY RUSSELL-MERVOSH LCSW
NPI 1275504623
Social Worker - Clinical in Bloomington, IN

Active since February 01, 2006
901 S ROGERS ST, BLOOMINGTON, IN 47403(812) 323-9890(812) 829-2596 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Brandy Russell-mervosh Lcsw NPPES

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

MS. BRANDY RUSSELL-MERVOSH LCSW (NPI 1275504623) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (34002977A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1275504623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BRANDY RUSSELL-MERVOSHCredential: LCSW
Location Address901 S ROGERS STBloomington, IN 47403-4760
Mailing AddressPo Box 599Spencer, IN 47460-0599 · (812) 829-2526 · Fax (812) 829-2596
Fax(812) 829-2596
Sole ProprietorYes
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 17, 2017
NPI 1275504623 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 IN · 34002977A
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.
901 S ROGERS ST, Bloomington, IN 47403

Other Identifiers 4

Other36295IN · Cigna
Other000000210144IN · Blue Shield
Other7157432IN · Aetna
Medicare ID-Type Unspecified183310IN

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
901 S ROGERS ST, SUITE 202
BLOOMINGTON, IN 47403
Psychologist (Clinical)
901 S ROGERS ST, SUITE 205
BLOOMINGTON, IN 47403
Social Worker (Clinical)
901 S ROGERS ST, SUITE 202
BLOOMINGTON, IN 47403
Psychologist (Clinical)
901 S ROGERS ST, SUITE 205
BLOOMINGTON, IN 47403
Community/Behavioral Health
901 S ROGERS ST, SUITE #103
BLOOMINGTON, IN 47403

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 Brandy Russell-mervosh's NPI number?

The NPI number for Brandy Russell-mervosh is 1275504623. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Brandy Russell-mervosh located?

Brandy Russell-mervosh practices at 901 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 323-9890.

What is Brandy Russell-mervosh'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 Brandy Russell-mervosh was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.