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

Nicole Russell

Individual provider Clinical Social Worker · NPI 1255168795

Nicole Russell is a Clinical Social Worker in Brown Deer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2717
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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 · Licence 135135 (WI)

Record details

NPI number1255168795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220

Other providers in Brown Deer