BRIAN RUSSELL (NPI# 1407078603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407078603 |
| Entity Type | Individual |
| Full Name | BRIAN RUSSELL |
| Credential | LCSW |
| Practice Address |
4823 N Royal Atlanta Dr C Tucker GA 30084-3806 |
| Practice Telephone | 7709392121 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004391 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
55815 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1487700985 | Brian Kona Russell | Chiropractor | 604 E Musser St, Carson City, NV 89701-4200 | 2007-01-26 |
| 1710031265 | Brian J Russell | Chiropractor | 128 E Oak St, Villa Park, IL 60181-2113 | 2007-01-22 |
| 1851900401 | Brian Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-07-29 |
| 1659938967 | Brian Michael Russell | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2019-05-22 |
| 1063863892 | Brian Michael Russell | Pharmacist | 2585 Main St, Buffalo, NY 14214-2023 | 2016-06-22 |
| 1497039812 | Brian Ray Russell | Physical Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2011-10-04 |
| 1992021315 | Brian D Russell | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2010-04-09 |
| 1598933970 | Brian Scott Russell | Pharmacist | 100 College Sq, Newark, DE 19711-5447 | 2008-02-19 |
| Street Address |
4823 N ROYAL ATLANTA DR C |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538258546 | Christine Rae Jolley | Social Worker | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2006-10-11 |
| 1790106185 | Tracey J Van Dyke | Counselor | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2014-01-02 |
| 1508153669 | Daniel Leroy Hatch | Psychologist | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2011-07-08 |
| 1053608984 | Barbara Deanne Beaton | Counselor | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2011-06-29 |
| 1861650129 | Elizabeth Ann Grigsby | Registered Nurse | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2008-05-22 |
| 1568639227 | Jeffrey Stephen Reber | Counselor | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2008-05-13 |
| 1437335528 | Julia K Sickles | Social Worker | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2008-01-18 |
| 1952521650 | Shannon A Keller | Counselor | 4823 N Royal Atlanta Dr, Suite C, Tucker, GA 30084-3806 | 2007-04-26 |
| 1295953693 | Lds Family Services | Clinic/Center | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2007-04-23 |
| 1609925460 | Christopher Curtis Young | Social Worker | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751801 | Malika A. Boyd | Social Worker | 2302 Summerwalk Pkwy, Tucker, GA 30084-8435 | 2020-05-17 |
| 1871136838 | Clearstone Counseling LLC | Social Worker | 3774 Lavista Rd Ste 100d, Tucker, GA 30084-5618 | 2019-10-22 |
| 1285108597 | Essence Washington | Social Worker | 6349 Wedgeview Dr, Tucker, GA 30084-8768 | 2019-01-20 |
| 1336617786 | Casey Mintz Beise | Social Worker | 1479 Brockett Rd Ste 100, Tucker, GA 30084-7326 | 2018-11-04 |
| 1326549924 | Danica Samuels Reuter | Social Worker | 2208 Hanfred Ln Ste 101-142, Tucker, GA 30084-4810 | 2018-02-28 |
| 1316446933 | Jairus Daniel Robinson | Social Worker | 1878 Weston Ln, Tucker, GA 30084-5500 | 2018-02-09 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1508390667 | Kimberly Averett | Social Worker | 6200 Bellecliff Run, Tucker, GA 30084-8628 | 2017-04-16 |
| 1942626528 | Elizabeth Acar | Social Worker | 2115 Willow Chase Ct, Tucker, GA 30084-6459 | 2014-03-06 |
| 1275967234 | Jill C Jenkins | Social Worker | 1375 Idlewood Parc Xing, Tucker, GA 30084-7836 | 2013-08-27 |
| Find all providers in TUCKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.