Individual provider Active NPI

Terri Ann Russell, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1063918019
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004959 Issued in VA
Practice address
Henrico County Public Schools
3820 Nine Mile Rd.
Henrico, VA 23223
Phone
(804) 343-6500
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004959 VA Primary

Addresses

Primary practice location

Henrico County Public Schools
3820 Nine Mile Rd.
Henrico, VA 23223

Mailing address

PO Box 23120
Richmond, VA 23223-0420
Phone (804) 343-6500

Other practice location 1

7001 Forest Ave Ste 405
Richmond, VA 23230-1726
Phone (804) 285-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250107004025 VA Practitioner - Clinical Social Worker 5991233710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004959VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 16, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 16, 2024 Accepting new patients

Locations

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063918019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232230420",
            "telephone_number": "804-343-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRICO COUNTY PUBLIC SCHOOLS",
            "address_2": "3820 NINE MILE RD.",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-343-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Forest Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301726",
            "country_code": "US",
            "telephone_number": "804-285-6811",
            "fax_number": "804-281-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.