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

MS. BRANDY RUSSELL-MERVOSH, LCSW

Active Sole Proprietor

MS. BRANDY RUSSELL-MERVOSH, LCSW is a Clinical Social Worker healthcare provider located in BLOOMINGTON, Indiana. NPI 1275504623 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BLOOMINGTON, IN

Registration Details

NPI Number
1275504623
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2006 (20.541077477345 yrs)
Last Updated
Feb 17, 2017
License
34002977A (IN)
Sole Proprietor
Yes

Practice Information

Address
901 S ROGERS ST
BLOOMINGTON, IN, 474034760
Browse IN providers · Browse ZIP 47403
Phone
8123239890
Fax
8128292596
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BLOOMINGTON, IN

Name Credential NPI
MS. KRISTIN KIMMELL LCSW 1922081793
DAVID JOHN CARRICO LCSW 1891779989
LINDA K GROVE-PAUL LCSW 1326022518
DANIEL ERIC MCNEELY LCSW 1598749780
MS. LAURA DIANE LININGER LCSW 1194709287
C JESSICA HERSCH LCSW LMFT ACSW 1205810306
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.