IndividualActive
Russell Widder, LCSW
NPI 1336172386 · Clinical Social Worker · Dover, DE
Provider details
- NPI number
- 1336172386
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- Q1-0000180 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
148 S Bradford St
Dover, DE 19904-7318
Phone: (302) 736-1820
Fax: (302) 736-5016
Street-level locationGet directions
Mailing address
160 Egret Ln
Wyoming, DE 19934-4002
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.