IndividualActive
Amanda Russell, CSW
NPI 1699730952 · Clinical Social Worker · Slc, UT
Provider details
- NPI number
- 1699730952
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- No
- License
- 5922570-3502 (UT)
Practice location
1578 W 1700 S
#200
Slc, UT 84104-3470
Phone: (801) 972-2711
Fax: (801) 972-2709
Mailing address
2828 S 1000 E
Slc, UT 84106-2278
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.