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

Individual provider Clinical Social Worker · NPI 1073860847

Mrs. Kaileen Russell, LICSW is a Clinical Social Worker in East Longmeadow, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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

264 N Main St Ste 14
East Longmeadow, MA 01028-1837
Phone: (413) 564-1407
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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 number1073860847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 10, 2012
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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