Russell, Mercy Burton
Russell, Mercy Burton is an individual health care provider with primary practice located at 835 Spruce St Ste C&D , Espanola NM 87532-3455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Mercy Burton can be contacted via phone (505) 747-7400.Contact Information
Primary practice address
835 Spruce St Ste C&D
Espanola NM 87532-3455
Phone: (505) 747-7400
Fax: (505) 443-8310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 89-0000212 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19550 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SWB-2025-0022 | New Mexico |
Profile Details
| NPI number | 1063567139 |
|---|---|
| LBN Legal business name | Russell, Mercy Burton |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 20th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063567139 | NPPES |
| Vermont | Other | 821-8223 | VERMONT BCBS PIN |
| Vermont | Other | 89-0000212 | VERMONT BCBS PIN |
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