Provider Demographics
NPI:1538965223
Name:LAWSON, RUSSELL DRUMMOND (MSW LCSWA CDP CMDCP)
Entity type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:DRUMMOND
Last Name:LAWSON
Suffix:
Gender:
Credentials:MSW LCSWA CDP CMDCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 HIGHCLIFF CIR
Mailing Address - Street 2:
Mailing Address - City:SEVEN DEVILS
Mailing Address - State:NC
Mailing Address - Zip Code:28604-9107
Mailing Address - Country:US
Mailing Address - Phone:984-222-9880
Mailing Address - Fax:
Practice Address - Street 1:221 DALTON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1653
Practice Address - Country:US
Practice Address - Phone:919-645-8990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP021836104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker