Tara Russian (NPI# 1720144728, PAC ID# 9032377353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1720144728 |
| PAC ID by PECOS | 9032377353 |
| Professional Enrollment ID | I20120216000051 |
| Full Name | Tara Russian |
| Organization Legal Name | VERNA DORITY MSW CCSW INC |
| Address |
1318 Raeford Rd Suite 1 Fayetteville NC 28305-5096 |
| Phone Number | 9104856336 |
| Gender | F |
| Medical School | NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG |
| Graduation Year | 1998 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6709070527 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 | 9104856336 | VERNA DORITY MSW CCSW INC |
| 1318 Raeford Rd, Fayetteville, NC 28305-5096 | 9104856336 | VERNA DORITY MSW CCSW INC |
| Organization Legal Name | VERNA DORITY MSW CCSW INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Wiens | Psychologist, Clinical | Verna Dority Msw Ccsw Inc | 780 Nw Broad St, Suite 210, Southern Pines, NC 28387-4102 |
| Railee Johnson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 4, Fayetteville, NC 28305-5086 |
| Tynicia D Walton | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 6321 Raeford Rd, Fayetteville, NC 28304-2810 |
| Rachel Leigh Macko | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1517 N Main St, Fuquay Varina, NC 27526-8579 |
| Viviette L. Allen | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Amy Sauls | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Gail E Gustafson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Becky N Clark | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 3, Fayetteville, NC 28305-5086 |
| Tracy A Goldberg | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 780 Nw Broad St, Suite 210, Southern Pines, NC 28387-4102 |
| Laura D Coyle | Psychologist, Clinical | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Street Address |
1318 RAEFORD RD SUITE 1 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28305-5096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viviette L. Allen | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Amy Sauls | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Gail E Gustafson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Laura D Coyle | Psychologist, Clinical | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Verna M Dority | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Kimberly K Tran | Psychologist, Clinical | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Cheryl A Mclean | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Virginia Novak | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Kristin B Vernon | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Laura A Yates | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1318 Raeford Rd, Suite 1, Fayetteville, NC 28305-5096 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Pantelakos | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4728 | |
| Cynthia J Hardwick | Psychologist, Clinical | 100 Parkview Ave, Fayetteville, NC 28305-4908 | |
| David R Parker | Family Medicine | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| Sheri Couch | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| Ellen B Mclaurin | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| David D Stewart | Internal Medicine | 114 Broadfoot Ave, Fayetteville, NC 28305-5002 | |
| Deborah A Atkinson | Psychologist, Clinical | 1404 Raeford Rd, Fayetteville, NC 28305-5028 | |
| Railee Johnson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 4, Fayetteville, NC 28305-5086 |
| Becky N Clark | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 3, Fayetteville, NC 28305-5086 |
| Mei-chuan Wang | Psychologist, Clinical | 2525 Raeford Rd, Suite B, Fayetteville, NC 28305-5092 | |
| Find all physicians in zip 28305 | |||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FAYETTEVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Tara Russian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.