Individual
NEWT RUSSELL
Active
Individual
NEWT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-1153
NM
175T00000X
Peer Specialist
1201
NM
Other
Enumeration date
09/10/2021
Last updated
10/23/2025
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