Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Heather Marie Russom-Earls, LCSW

Individual provider Clinical Social Worker · NPI 1447755418

Mrs. Heather Marie Russom-Earls, LCSW is a Clinical Social Worker in Kennett, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
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

935 State Route Vv
Kennett, MO 63857-3822
Phone: (573) 888-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1891 Sunset Dr, Poplar Bluff, MO 63901-2805 — (573) 778-9185

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2020012392 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2018010403 (MO)

Record details

NPI number1447755418
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 29, 2018
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

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