TERESA MARIE ANTONETTE RUSSELL (NPI# 1780847616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780847616 |
Entity Type | Individual |
Full Name | TERESA MARIE ANTONETTE RUSSELL |
Other Name | MARIA RUSSELL |
Credential | L.C.S.W. |
Practice Address |
29 417 E Hyw 212 Busby MT 59016-0201 |
Mailing Address |
Po Box 201 Busby MT 59016-0201 |
Practice Telephone | 4065923515 |
Mailing Telephone | 4065923515 |
Enumeration Date | 2008-07-10 |
Last Update Date | 2015-10-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
824 | MT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538314083 | Teresa Ann Russell | Physical Therapist | 792 W Pine Ford Rd, Boyertown, PA 19512-7502 | 2008-11-25 |
1134171945 | Teresa Marie Russell | Counselor | 10292 Chestnut Park Ln, Columbia, MD 21044-4951 | 2006-05-17 |
1700137122 | Teresa Payton Russell | Counselor | 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 | 2012-09-25 |
1871874255 | Teresa A Russell | Pharmacist | 1950 Wales Rd Ne, Massillon, OH 44646-4110 | 2011-08-30 |
1124312053 | Teresa Marie Russell | Nurse Practitioner | 130 E 77th St, Black Hall, 8th Floor, New York, NY 10075-1851 | 2011-06-08 |
1770639346 | Teresa M Russell | Nurse Practitioner | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2007-01-26 |
Street Address |
29 417 E HYW 212 |
City | BUSBY |
State | MT |
Zip Code | 59016-0201 |
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] |
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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.