National Provider Identifier

Heather Russell

Heather Russell is listed in the NPPES registry with a primary specialty of Social Worker in Jamestown, NY and a listed phone number of (716) 951-2274.

NPI 1255185989Jamestown, NYSocial Worker

Profile Overview

NPI
1255185989
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 17, 2024
Last Updated
April 17, 2024

Practice Location

  • 332 E 4Th St
  • Jamestown, NY 14701-5598

Phone: (716) 951-2274

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1255185989
Entity Type
Individual
Last Name
Russell
First Name
Heather
Mailing Street Address
332 E 4Th St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-5598
Mailing Country
US
Mailing Phone
(716) 488-1971
Practice Street Address
332 E 4Th St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5598
Practice Country
US
Practice Phone
(716) 951-2274
Practice Fax
(716) 483-6878
Enumeration Date
April 17, 2024
Last Updated
April 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)