Joel D Russell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

096869 Issued in NY

Practice address

1028 Main St
Buffalo, NY 14202-1102

Phone

(716) 859-5460

NPI assigned

Oct 18, 2016

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1093266710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021102",
            "telephone_number": "716-859-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Russak, O.T.
• Brian Michael Russell, PHARMD
• Catherine Ann Russell
• Debra L Russell, LCSWR
• Hailey Dylana Russell
• Judith Ann Russell, COTA/C
• Laura Mary Russell
• Mary Anne Russell, MS, CCC-SLP
• Meghan Russell, M.S., C.A.S.
• James Henry Russillio, RN, BSN, CRNA

• Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.