Individual provider Active NPI

Tiffanie Russell

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1104281146
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019104 Issued in PA
Practice address
5725 Forward Ave Ste 300
Pittsburgh, PA 15217-2286
Phone
(412) 508-9010
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 CW019104 PA Primary

Addresses

Primary practice location

5725 Forward Ave Ste 300
Pittsburgh, PA 15217-2286

Mailing address

4001 Meadowbrook Blvd
Pittsburgh, PA 15227-3415
Phone (412) 508-9010

Other practice location 1

2345 Murray Ave Ste 305
Pittsburgh, PA 15217-2352
Phone (203) 671-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160816001825 PA Practitioner - Clinical Social Worker 3072807965 Reassigns benefits to 1 organization
I20251124003110 NJ Practitioner - Clinical Social Worker 3072807965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 Laurel Rd
Suite 300
Voorhees, NJ 08043-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019104PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Oct 27, 2025 Accepting new patients
Russell Wellness LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients
Regional Women'S Health Group, LLC CurrentSince Oct 27, 2025 Accepting new patients
Handinhand Counseling Services, LLC Clinical PastSince Apr 12, 2017 Accepting new patients

Locations

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

2401 E Evesham Rd
Ste A1
Voorhees, NJ 08043
Phone (856) 424-3323

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

2401 E Evesham Rd
Ste A
Voorhees, NJ 08043
Phone (856) 424-3323

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

2345 Murray Ave
Ste 305
Pittsburgh, PA 15217
Phone (412) 326-9790

5725 Forward Ave
Ste 300
Squirrel Hill, PA 15217
Phone (412) 508-9010

Organizations & group practices 4

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1104281146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MEADOWBROOK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273415",
            "telephone_number": "412-508-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 FORWARD AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172286",
            "telephone_number": "412-508-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Murray Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172352",
            "country_code": "US",
            "telephone_number": "203-671-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TIFFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.