Russell Stewart Bryan, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · New Albany, IN
NPI 1700568136 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1700568136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34010095A (IN)
- Practice address
- 2013 Locust St
New Albany, IN 47150-2772 - Phone
- (502) 939-8195
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010095A | IN | MD | Clinical Social Worker |
| 6677 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6677 | KY | |
| Clinical Social Worker | 1041C0700X | 34010095A | IN | Yes |
Addresses
Primary practice location
2013 Locust St
New Albany, IN 47150-2772
Mailing address
2013 Locust St
New Albany, IN 47150-2772
Phone (502) 939-8195
Other providers in New Albany, IN
- Jordan Brokha Brown
- Shannon Michelle Brown
- Vardeet Brown
- Emily Browning
- David G Brunck
- Alyssa Bryant
- Robin Bryant
- Carole Buhts
- Briana Bullitt
- Jessica Burden
All providers in New Albany, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.