MYRA RUSSELL (NPI# 1912143165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912143165 |
| Entity Type | Individual |
| Full Name | MYRA RUSSELL |
| Credential | LCSW |
| Practice Address |
108 W Main St Norton MA 02766-1248 |
| Practice Telephone | 5082859400 |
| Practice Fax Number | 5082856573 |
| Mailing Telephone | 5082859400 |
| Mailing Fax Number | 5082856573 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW01289 | RI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
217467 | MA | Behavioral Health & Social Service Providers |
| Street Address |
108 W MAIN ST |
| City | NORTON |
| State | MA |
| Zip Code | 02766-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396925 | Elisha Lynn Watters | Counselor | 108 W Main St, Norton, MA 02766-1248 | 2020-11-04 |
| 1851998926 | Kaily Lynn Moran | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-10-02 |
| 1346857752 | Christopher Curtin | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-09-29 |
| 1003421454 | Miossotis Galdos | Clinic/Center | 108 W Main St, Norton, MA 02766-1248 | 2020-09-12 |
| 1336773001 | Katelyn Ellinwood | Licensed Practical Nurse | 108 W Main St, Norton, MA 02766-1248 | 2020-03-02 |
| 1053945410 | Lori Gail Taggart | Licensed Practical Nurse | 108 W Main St, Norton, MA 02766-1248 | 2020-02-25 |
| 1568002194 | Kendra Jean Paradis | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-01-12 |
| 1154967768 | Angela M Reda | Registered Nurse | 108 W Main St, Norton, MA 02766-1248 | 2019-11-19 |
| 1881230498 | Alana Magina | Licensed Practical Nurse | 108 W Main St, Norton, MA 02766-1248 | 2019-11-19 |
| 1427691138 | Hajah Jaward | Behavioral Analyst | 108 W Main St, Norton, MA 02766-1248 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815852 | Allison Mckay | Physical Therapist | 250 East Main Street, Norton, MA 02766 | 2009-08-06 |
| 1336344340 | Stephanie Stanley | Counselor | 108 W. Main Street, Norton, MA 02766 | 2007-06-19 |
| 1093831802 | Jacs Ops Iv, Inc | Assisted Living Facility | 190 Mansfield Avenue, Norton, MA 02766 | 2007-03-22 |
| 1659409936 | Department of Mental Health | Community/Behavioral Health | 108 West Main Street, Norton, MA 02766 | 2007-03-01 |
| 1760559504 | Dr Ted F Bukowski & Assoc PC | Optometrist | 140 East Main St, Norton, MA 02766 | 2006-11-29 |
| 1356434161 | Robert Wesley Vokey | Dentist | 275 West Main St, Norton, MA 02766 | 2006-10-02 |
| 1730286279 | Town of Norton | Public Health or Welfare | 70 East Main Street, Norton, MA 02766 | 2006-09-19 |
| 1275515975 | Tina Beth Berlad | Speech-Language Pathologist | 215 Main St, Norton, MA 02766 | 2005-11-17 |
| 1679084768 | Norton Physical Therapy, LLC | Clinic/Center | 184 West Main Street, Suite 102, Norton, MA 02766 | 2017-10-17 |
| 1932488483 | Heather Duquette | Social Worker | 87 E Main St, Norton, MA 02766 | 2011-08-15 |
| Find all providers in zip 02766 | ||||
| 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 |
|---|---|---|---|---|
| 1245719913 | Constance Jean Goldzung-eckart | Social Worker | 20 Strawstone Ln, Norton, MA 02766-1133 | 2018-08-13 |
| 1730559980 | Nicole Nelson | Social Worker | 117 Maple St, Norton, MA 02766-2619 | 2015-09-30 |
| 1942348701 | Robert Gary O'connor | Social Worker | 35 Burt St, Norton, MA 02766-2569 | 2007-02-02 |
| 1609969518 | Ladonna Hall | Social Worker | 1024 Park Ave Nw, Norton, VA 24273-1823 | 2006-10-02 |
| 1144223884 | Michael Ryan Williams | Social Worker | 18 Seventh St, Park Ave Center, Suite 207, Norton, VA 24273 | 2005-05-25 |
| 1346857752 | Christopher Curtin | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-09-29 |
| 1568002194 | Kendra Jean Paradis | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-01-12 |
| 1902380199 | Michele Catherine Baeta | Social Worker | 215 W Main St, Norton, MA 02766-1232 | 2018-09-24 |
| 1831617638 | Laurence Duncan Vinson IIi | Social Worker | 108 W Main St Unit 5, Norton, MA 02766-1248 | 2017-09-01 |
| 1730630435 | Ellen Keeler | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2016-10-18 |
| Find all providers in NORTON | ||||
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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.