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

Nancy Rae Russell, LCSW

Individual provider Clinical Social Worker · NPI 1003942962

Nancy Rae Russell, LCSW is a Clinical Social Worker in St Petersburg, Florida. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2007
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

6737 1st Ave S
St Petersburg, FL 33707-1307
Phone: (727) 341-1000
Fax: (727) 341-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW6791 (FL)

Record details

NPI number1003942962
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESFebruary 22, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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