Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antwinette Russell

Individual provider Clinical Social Worker · NPI 1497485577

Antwinette Russell is a Clinical Social Worker in Pembroke, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1 University Rd
Pembroke, NC 28372-8699
Phone: (919) 939-0469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P019814 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497485577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address1 University Rd, Pembroke, NC 28372-8699

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