Russell, Nancy Rae

Russell, Nancy Rae is an individual health care provider with primary practice located at 6737 1St Ave S , St Petersburg FL 33707-1307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Nancy Rae can be contacted via phone (727) 341-1000.

Contact Information

Primary practice address

6737 1St Ave S St Petersburg FL 33707-1307

Phone: (727) 341-1000

Fax: (727) 341-1000

Website:

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Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X	SW6791	Florida

Profile Details

NPI number	1003942962
LBN Legal business name	Russell, Nancy Rae
Credentials	Licensed Clinical Social Worker (LCSW)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 26th, 2007
Last updated	Feb 22nd, 2012 - about 12 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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