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

Pamela Dawn Russell, LICSW

Individual provider Clinical Social Worker · NPI 1639296205

Pamela Dawn Russell, LICSW is a Clinical Social Worker in Yakima, Washington. Qualified in 2009, 17 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2007
Specialties on file
2
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

6 S 2nd St Ste 712
Yakima, WA 98901-2629
Phone: (509) 490-2584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Chesterly Dr Ste 100, Yakima, WA 98902-7339 — (509) 490-2584

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60458616 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 60458616 (WA)

Record details

NPI number1639296205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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