NPI 1003942962

Nancy Rae Russell, LCSW

Practitioner Clinical Social Worker St Petersburg, FL

Practice location

Address: 6737 1st Ave S, St Petersburg, FL 33707-1307
Phone: (727) 341-1000
Fax: (727) 341-1000
Mailing address: 6739 1st Ave S, St Petersburg, FL 33707-1307

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW6791 (FL)

Other Social Worker providers in Florida →

Registry record

NPI: 1003942962
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2007
Record last updated: 22 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.