RUSSELL P WIDDER LCSW
NPI 1336172386
Social Worker - Clinical in Dover, DE

Active since July 09, 2006
148 S BRADFORD ST, DOVER, DE 19904(302) 736-1820(302) 736-5016 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell P Widder Lcsw NPPES

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

RUSSELL P WIDDER LCSW (NPI 1336172386) is an individual clinical provider in Dover, Delaware, licensed in Delaware (Q1-0000180) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336172386
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRUSSELL P WIDDERCredential: LCSW
Location Address148 S BRADFORD STDover, DE 19904-7318
Mailing Address160 Egret LnWyoming, DE 19934-4002 · (302) 736-1820 · Fax (302) 736-5016
Fax(302) 736-5016
Sole ProprietorYes
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1336172386 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 DE · Q1-0000180
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.
148 S BRADFORD ST, Dover, DE 19904

Other Identifiers 3

Medicare ID-Type Unspecified649243R62DE · Provider Number
Medicaid0000643973DE
Medicare UPINS30242DE

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.

Counselor (Mental Health)
148 S BRADFORD ST
DOVER, DE 19904
Social Worker (Clinical)
148 S BRADFORD ST
DOVER, DE 19904

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 Russell Widder's NPI number?

The NPI number for Russell Widder is 1336172386. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Russell Widder located?

Russell Widder practices at 148 S Bradford St, Dover, DE 19904. The listed phone number is (302) 736-1820.

What is Russell Widder'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 Russell Widder was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.