MRS. HEATHER MARIE RUSSOM-EARLS LCSW
NPI 1447755418
Social Worker - Clinical in Kennett, MO

Q: What is Heather Russom-earls's NPI number?

The NPI number for Heather Russom-earls is 1447755418. It was assigned to this individual provider in the NPPES registry on March 29, 2018. The provider is also known as Heather Marie Eddy.

Q: What is Heather Russom-earls's specialty?

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

Active since March 29, 2018

935 STATE ROUTE VV, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, May 12, 2020, Mar 29, 2018 (3 updates tracked since 2018).

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About Mrs. Heather Marie Russom-earls Lcsw NPPES

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

MRS. HEATHER MARIE RUSSOM-EARLS LCSW (NPI 1447755418) is an individual clinical provider in Kennett, Missouri, licensed in Missouri (2020012392) and active in the NPI registry since March 2018. She maintains a secondary practice location in Poplar Bluff.

NPPES Registry Identity

NPI1447755418

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. HEATHER MARIE RUSSOM-EARLSCredential: LCSW

Location Address935 STATE ROUTE VVKennett, MO 63857-3822

Mailing Address935 State Route VvKennett, MO 63857-3822 · (573) 888-5925

Phone(573) 888-5925

Sole ProprietorYes

Enumeration DateMarch 29, 2018

Last NPPES UpdateApril 1, 20213 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1447755418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MO · 2020012392✔ Licensed in MO · 2018010403

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.

935 STATE ROUTE VV, Kennett, MO 63857

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Other Names 1

Other Name (5)Heather Marie Eddy

Secondary Practice Location 1

Location 11891 Sunset DrPoplar Bluff, MO 63901-2805 · Phone (573) 778-9185

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.

JEREMY ALLEN TUCKER

Behavior Technician