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

Simone Russell

Individual provider Clinical Social Worker · NPI 1750147732

Simone Russell is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

4626 N 300 W Ste 150
Provo, UT 84604-6077
Phone: (801) 407-4134
Fax: (801) 877-0864
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 12933011-3502 (UT)

Record details

NPI number1750147732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing addressPo Box 50207, Provo, UT 84605-0207

Other providers in Provo