Jillian Russell, LCSW
Social Worker, Clinical in Higganum, CT. Individual provider (NPI-1).
NPI number1023658564
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1023658564
- Entity type
- Individual (NPI-1)
- Name
- Jillian Russell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12308 | CT | Yes |
Practice location
16 Hawthorne CtHigganum, CT 06441-4281
Phone 860-335-6145
Mailing address
16 Hawthorne CtHigganum, CT 06441-4281
Phone 860-335-6145
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All 10 Clinical Social Worker providers in Higganum · All 63 providers in Higganum
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