Cynthia Marie Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013675 Issued in IL

Practice address

460 Briargate Dr
Suite 700
South Elgin, IL 60177-2227

Phone

(847) 488-1999

Fax

(847) 488-9797

NPI assigned

Dec 1, 2006

Last updated

Dec 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Loyola University of Chicago, Stritch School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alexian Brothers Behavioral Health HospitalGroup PAC ID 9537062138, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cynthia.russell.1@15182.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexian Brothers Behavioral Health Hospital

  dba Alexian Brothers Behavioral Health Hospital Outpatient Group Practice

  • Psychiatry Physician
  • Hoffman Estates, IL
  • NPI 1801318928

  Clinical

  Medicare reassignment Care Compare group NPD
• VCC Counseling, Inc.

  • Clinical Psychologist
  • South Elgin, IL
  • NPI 1477563641
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1053489450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ELMWOOD LN UNIT A2",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932032",
            "telephone_number": "773-629-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARGATE DR",
            "address_2": "SUITE 700",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772227",
            "telephone_number": "847-488-1999",
            "fax_number": "847-488-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Roklin
• Marea Anne Rosedale, M.S.
• John Rucks Rosser Jr., D.C.
• Rueger & Associates, LTD.
• Sandra Yu Rueger, PHD
• Joseph Russo, PT, DPT, ATC
• Elizabeth Ryan, MA, CCC-SLP/L
• Megan Ryan, MS, CRC, LCPC
• Saakib Jauhar-Rizvi LLC
• Tomzak Saengyothinh

• Clinical Social Worker in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.