ASHLEY KRYSTAL RUSSELL


Address: 200 Tarpon Trl, Jacksonville, NC 28546
Phone: 9109381114

ASHLEY KRYSTAL RUSSELL (NPI# 1609371053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609371053
Entity Type Individual
Full Name ASHLEY KRYSTAL RUSSELL
Credential LCSW-A
Practice Address 200 Tarpon Trl
Jacksonville
NC 28546
Mailing Address 200 Tarpon Trl
Jacksonville
NC 28546-5287
Practice Telephone 9109381114
Practice Fax Number 9109381118
Mailing Telephone 9109381114
Mailing Fax Number 9109381118
Enumeration Date 2018-03-28
Last Update Date 2019-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1211 Harrington St, Beaufort, SC 299024179 8438462913

Other Providers ASHLEY RUSSELL

NPI Name Taxonomy Address Enumeration
1659862506 Ashley Russell Optometrist 6333 Main St Ste 1, Williamsville, NY 14221-5800 2018-05-27
1336501915 Ashley Russell Occupational Therapist W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 2016-03-23
1790191617 Ashley Russell Physical Therapy Assistant 1267 South Hill Road, Erie, PA 16509 2014-07-11
1184960973 Ashley Russell Naturopath 116 Danbury Rd, New Milford, CT 06776-3441 2012-12-24
1467075556 Ashley Y Russell Technician 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 2020-05-22
1528527512 Ashley K Russell Student in an Organized Health Care Education/Training Program 1415 Tulane Ave, New Orleans, LA 70112-2600 2019-03-18
1518446343 Ashley Russell Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-08-13
1124530159 Ashley Russell Registered Nurse 25 1st Ave Ne Ste 100, Buffalo, MN 55313-1598 2017-10-31
1699206987 Ashley Russell Registered Nurse 2900 Corporate Way, Door D, Miramar, FL 33025-3925 2017-03-27
1275986333 Ashley Nicole Russell Counselor 4330 Maynardville Hwy, Maynardville, TN 37807 2016-07-13

Office Location

Street Address 200 TARPON TRL
City JACKSONVILLE
State NC
Zip Code 28546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487643151 Antonio Cusi Psychiatry & Neurology 200 Tarpon Trl, Jacksonville, NC 28546-5287 2005-10-17
1174123541 Weston Blake Mills Physician Assistant 200 Tarpon Trl, Jacksonville, NC 28546-5287 2020-10-27
1801411707 Marisa T Nieves Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2020-06-16
1043854631 Emily Moreland Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-11-06
1699316026 Rebecca Sinnett Shepherd Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-10-07
1225686520 Felix Raphael Rivera Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-08-29
1568018182 Stephanie J Garcia Counselor 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-08-11
1235781022 Ashley Covington-wright Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-07-11
1770135519 Robert Lee Wilder Jr. Social Worker 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-07-11
1720640311 Mary Elizabeth Feinour Physician Assistant 200 Tarpon Trl, Jacksonville, NC 28546-5287 2019-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
Find all providers in zip 28546

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748193 Sophia Venditti Social Worker 2598 Post St # 1, Jacksonville, FL 32204-4256 2020-10-22
1629676093 My Journey, LLC Social Worker 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 2020-10-16
1104423524 Sonya Young Social Worker 920 Bridier St, Jacksonville, FL 32206-5904 2020-10-08
1043823115 Sierra Lashonda Murray Social Worker 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 2020-08-28
1235741901 Deidra Lewis Social Worker 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 2020-08-23
1497365456 Darlene Denise Rolle- Cargill Social Worker 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 2020-08-05
1689282626 Andrea Kristin Perkinson Social Worker 128 Plow Point Ln, Jacksonville, NC 28546-9591 2020-07-15
1255956371 Noel Roman Social Worker 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 2020-06-15
1285257535 Phaith Coaching & Counseling, LLC Social Worker 4940 Emerson St, Jacksonville, FL 32207-4963 2020-05-21
1407478613 Mara's Lighthouse Counseling Center, LLC Social Worker 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 2020-05-11
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 28546

Improve Information

Please comment or provide details below to improve the information on ASHLEY KRYSTAL RUSSELL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches