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JESSICA RUSSELL LCSW
NPI 1891196861
Social Worker - Clinical in Ellington, CT

Active since September 10, 2014
15 FAIRVIEW AVE, ELLINGTON, CT 06029(860) 559-7478(413) 439-0100 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Russell Lcsw NPPES

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

JESSICA RUSSELL LCSW (NPI 1891196861) is an individual clinical provider in Ellington, Connecticut, licensed in Connecticut (12094) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1891196861
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA RUSSELLCredential: LCSW
Location Address15 FAIRVIEW AVEEllington, CT 06029-4218
Mailing Address15 Fairview AveEllington, CT 06029-4218 · (860) 559-7478 · Fax (413) 439-0100
Phone(860) 559-7478
Fax(413) 439-0100
Sole ProprietorNo
Enumeration DateSeptember 10, 2014
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1891196861 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 CT · 12094
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.
15 FAIRVIEW AVE, Ellington, CT 06029
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Other Identifiers 1

Other12094CT · Dph Licensure- Lcsw

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 Jessica Russell's NPI number?

The NPI number for Jessica Russell is 1891196861. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Jessica Russell located?

Jessica Russell practices at 15 Fairview Ave, Ellington, CT 06029. The listed phone number is (860) 559-7478.

What is Jessica 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 Jessica Russell was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.