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

Jennifer Russell

Individual provider Clinical Social Worker · NPI 1497107072

Jennifer Russell is a Clinical Social Worker in Everett, Washington. Qualified in 2016, 10 years ago. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
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Practice location Address checks out

2802 Broadway
Everett, WA 98201-3642
Phone: (425) 259-3191
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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 0904017993 (VA)

Record details

NPI number1497107072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESJune 30, 2025
Certification dateJune 9, 2025
Mailing address6242 Pelican Ridge Way, League City, TX 77573

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Everett