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

Individual provider Clinical Social Worker · NPI 1558044040

Christopher Todd Russell, LCSW is a Clinical Social Worker in Jonesboro, Arkansas. Qualified in 2020, 6 years ago. Practices with St Bernards Hospital Inc, a 185-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

615 E Matthews Ave
Jonesboro, AR 72401-3145
Phone: (870) 816-0295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10092-C (AR)

Record details

NPI number1558044040
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Bernards Hospital Inc. — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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