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OLIVER RUSSELL LCSW-C NPI 1295944254


NPI Information

NPI: 1295944254
Provider Name: OLIVER RUSSELL, LCSW-C
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1001 LAWRENCE ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 635-5990
Get Directions

Oliver Russell, LCSW-C is a clinical social worker in Washington, DC. The provider is 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. Oliver Russell, LCSW-C NPI is 1295944254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 LAWRENCE ST NE
WASHINGTON, DC
ZIP 20017-513
Phone: (202) 635-5990

The enumeration date for this NPI number is 5/22/2007 and was last updated on 1/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLC3000796DISTRICT OF COLUMBIANo
21041C0700XSocial WorkerClinical0904005217VIRGINIANo
31041C0700XSocial WorkerClinical10749MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10904005217MEDICAIDVIRGINIA
2LCSW-C10749MEDICAIDMARYLAND
3005495V93MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIAMEDCARE PROVIDER #
4LC30007976MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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