NPI 1063567139

Mercy Burton Russell, LCSW

Practitioner Clinical Social Worker Espanola, NM

Practice location

Address: 835 Spruce St STE C&d, Espanola, NM 87532-3455
Phone: (505) 747-7400
Fax: (505) 443-8310

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SWB-2025-0022 (NM)

Other Social Worker providers in New Mexico →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 89-0000212 (VT)

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 19550 (AZ)

Registry record

NPI: 1063567139
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2007
Record last updated: 20 Jun 2025

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.