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

Mrs. Carolyn Ann Russell, LCSW

Individual provider Clinical Social Worker · NPI 1619689833

Mrs. Carolyn Ann Russell, LCSW is a Clinical Social Worker in Newark, Delaware. Qualified in 2019, 7 years ago. Practices with Mid-Atlantic Behavioral Health, LLC, a 84-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware.

Years since qualifying
7
Licensed in
DE
In the registry since
2022
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

100 Commerce Dr Ste 300
Newark, DE 19713-2878
Phone: (302) 224-1400
Fax: (302) 224-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Horsepond Rd, Dover, DE 19901-7232 — (302) 747-1156

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q1-0012174 (DE)

Record details

NPI number1619689833
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2022
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mid-Atlantic Behavioral Health, Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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