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

Sebrina Russell

Individual provider Social Worker · NPI 1285266734

Sebrina Russell is a Clinical Social Worker in Jonesboro, Georgia. Qualified in 2004, 22 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2020

Practice location Address checks out

409 Arrowhead Blvd Ste C1&C2
Jonesboro, GA 30236-1255
Phone: (404) 391-7675
Show map & directions

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

Additional practice locations (1)

  • 2795 Main St W Ste 20b, Snellville, GA 30078-3073 — (678) 344-7836

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence MSW007839 (GA)

Record details

NPI number1285266734
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address4305 Paxton Ln Sw Apt 105, Lilburn, GA 30047-3390

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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