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

Individual provider Clinical Social Worker · NPI 1093344681

Nathanael William Russell, LMSW, QMHP is a Clinical Social Worker in Port Huron, Michigan. Qualified in 2020, 6 years ago. Practices with Health Equity and Recovery Technologies LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2837 Walnut St
Port Huron, MI 48060-2162
Phone: (810) 689-4547
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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
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801106998 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801114888 (MI)

Record details

NPI number1093344681
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , QMHP
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Health Equity And Recovery Technologies Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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