SearchMichiganClinical Social Worker

Nathanael Russell, LMSW, QMHP

NPI 1093344681 · on the registry since 2020

Practice

Address
2837 Walnut St
Port Huron, MI 48060
Phone
(810) 689-4547
Organisation at this address
Enlightened Mind Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Clinical Social Worker
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan