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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK RUSSELL, LCSW

Active Sole Proprietor

MARK RUSSELL, LCSW is a Clinical Social Worker healthcare provider located in PUNXSUTAWNEY, Pennsylvania. NPI 1144752221 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PUNXSUTAWNEY, PA

Registration Details

NPI Number
1144752221
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2017 (9.1969555932402 yrs)
Last Updated
Mar 29, 2017
License
CW018496 (PA)
Sole Proprietor
Yes

Practice Information

Address
475 SYKESVILLE TROUTVILLE RD
PUNXSUTAWNEY, PA, 157674367
Browse PA providers · Browse ZIP 15767
Phone
8145911997
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PUNXSUTAWNEY, PA

Name Credential NPI
SUSAN DIANE NEVILLE LCSW 1316051428
MRS. NANCY CRAFT LCSW 1578884615
AMANDA ZIAD AMUNDSON MSW 1558740191
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.