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

Mary Russell, MSW, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508321423

Mary Russell, MSW, LADACII is an Addiction (Substance Use Disorder) Counselor in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

110 McCowat St
Jackson, TN 38301-5279
Phone: (731) 427-7238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LDC0000000502 (TN)

Record details

NPI number1508321423
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LADACII
Sole proprietorNo
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 5, 2019

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