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

Jessica Russell, LCSW

Individual provider Clinical Social Worker · NPI 1891196861

Jessica Russell, LCSW is a Clinical Social Worker in Ellington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.

Licensed in
CT
In the registry since
2014
Specialties on file
2
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

15 Fairview Ave
Ellington, CT 06029-4218
Phone: (860) 559-7478
Fax: (413) 439-0100
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 12094 (CT)

Record details

NPI number1891196861
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

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