National Provider Identifier
Debra L Russell, LCSWR
Debra L Russell, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 308-0399.
Profile Overview
- NPI
- 1346526969
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 27, 2011
- Last Updated
- October 27, 2011
Practice Location
- 768 Potomac Ave
- Buffalo, NY 14209-1025
Phone: (716) 308-0399
Specialties
- Clinical Social Worker (1041C0700X)
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1346526969
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Debra
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- LCSWR
- Mailing Street Address
- 768 Potomac Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1025
- Mailing Country
- US
- Mailing Phone
- (716) 308-0399
- Practice Street Address
- 768 Potomac Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1025
- Practice Country
- US
- Practice Phone
- (716) 308-0399
- Enumeration Date
- October 27, 2011
- Last Updated
- October 27, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)