Eliza Sholtz Russ, LCSW
Social Worker, Clinical in Durham, NC. Individual provider (NPI-1).
NPI number1982123048
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1982123048
- Entity type
- Individual (NPI-1)
- Name
- Eliza Sholtz Russ
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2017
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C009769 | NC | Yes |
Practice location
3622 Lyckan Pkwy Ste 1001Durham, NC 27707-2565
Phone 252-220-4496
Mailing address
2416 Treen StRaleigh, NC 27614-7430
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