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

Mark Russell II, LCSW

Individual provider Clinical Social Worker · NPI 1205669868

Mark Russell II, LCSW is a Clinical Social Worker in New Hartford, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

69 Oakdale Ave S
New Hartford, NY 13413-1325
Phone: (314) 335-6066
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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

Record details

NPI number1205669868
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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