Eric Bernard Russell, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126347 Issued in CA

Practice address

15740 Turnberry St
Moreno Valley, CA 92555-4903

Phone

(951) 363-8449

NPI assigned

Oct 28, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silence Aloud, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Moreno Valley, CA
  • NPI 1669992053
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1104648534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042037",
            "telephone_number": "951-683-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 TURNBERRY ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554903",
            "telephone_number": "951-363-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIC",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "126347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Ruiz de Martinez, NP
• Ricardo Ruiz Flores, MD
• Rosalba A Ruiz-Nanez
• Mireya Ruiz
• Tiffany Ruiz, MD
• Bezon Adil Rustomi, DO
• Benjamin Rutanhira
• Daniel Ruvalcaba
• Rossana Ruvalcaba, RDN
• R. David Rynearson, DDS, MS

• Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.