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

Individual provider Clinical Social Worker · NPI 1396948667

Mrs. Andrea Russell, LICSW is a Clinical Social Worker in Taunton, Massachusetts. Qualified in 2007, 19 years ago. Practices with Community Counseling of Bristol County, Inc, a 53-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
19
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Washington St
Taunton, MA 02780-3960
Phone: (508) 828-9116
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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 number1396948667
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 6, 2007
Last updated in NPPESNovember 26, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Community Counseling Of Bristol County, Inc. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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