Betty Wright Russell, LCSW, LMFT, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000914 Issued in NC

Practice address

363 Williamson Rd
Suite 102
Mooresville, NC 28117-5964

Phone

(704) 664-7148

Fax

(704) 664-3086

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child & Family Therapy Center, PC

  • Professional Counselor
  • Mooresville, NC
  • NPI 1275788119
  Medicare reassignment NPD Authorized official
• Child & Family Therapy Center PC

  • Professional Counselor
  • Conover, NC
  • NPI 1396074159
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912983685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175964",
            "telephone_number": "704-664-7148",
            "fax_number": "704-664-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175964",
            "telephone_number": "704-664-7148",
            "fax_number": "704-664-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BETTY",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "LCSW, LMFT, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF N",
            "identifier": "74043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Anne Rousseau, MD
• Rowan Oral & Facial Surgery PC
• RTC Psychological Associates, PLLC
• Ruach Faith & Courage PLLC
• Claire Runde, DMD
• RXN, LLC
• Michael Whiting Ryan, M.D.
• Jenny S Ryerson, MSW, LCSW
• S Vakil DDS Ms III PA
• Laura Englert Sabatino, PT

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.