MRS. JACLYN MARGARET RUSSELL LCSW
NPI 1891045670
Social Worker - Clinical in Wantagh, NY

Active since September 19, 2012
1400 WANTAGH AVE STE 208, WANTAGH, NY 11793(516) 209-8533 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Mar 16, 2017 (2 updates tracked since 2017).

About Mrs. Jaclyn Margaret Russell Lcsw NPPES

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

MRS. JACLYN MARGARET RUSSELL LCSW (NPI 1891045670) is an individual clinical provider in Wantagh, New York, licensed in New York (083040-1) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1891045670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JACLYN MARGARET RUSSELLCredential: LCSW
Location Address1400 WANTAGH AVE STE 208Wantagh, NY 11793-2210
Mailing Address1400 Wantagh Ave Ste 208Wantagh, NY 11793-2210 · (516) 209-8533
Sole ProprietorNo
Enumeration DateSeptember 19, 2012
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1891045670 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 NY · 083040-1
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.

1400 WANTAGH AVE STE 208, Wantagh, NY 11793

Other Providers at the Same Location NPPES

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

Specialist
1400 WANTAGH AVE STE 208
WANTAGH, NY 11793

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 Jaclyn Russell's NPI number?

The NPI number for Jaclyn Russell is 1891045670. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Jaclyn Russell located?

Jaclyn Russell practices at 1400 Wantagh Ave Ste 208, Wantagh, NY 11793. The listed phone number is (516) 209-8533.

What is Jaclyn Russell'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 Jaclyn Russell was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.