Search › Kentucky › 1041C0700X
Andrea Russell, LCSW
NPI 1124306576 · on the registry since 2011
Practice
- Address
- 1436 S Shelby St
Louisville, KY 40217 - Phone
- (502) 636-0771
- Organisation at this address
- Volunteers Of America Mid-States
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Additional practice sites
- 600 S Preston St, Louisville, KY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-04
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 Kentucky