Caisie Madison Russell, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28593 Issued in MD

Practice address

111 E Main St Ste B
Elkton, MD 21921-5996

Phone

(443) 406-3234

NPI assigned

May 18, 2021

Last updated

Feb 12, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Project Chesapeake, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Annapolis, MD
  • NPI 1134539208
  Medicare reassignment NPD
• Project Chesapeake, LLC

  • Substance Abuse Rehabilitation Facility
  • East New Market, MD
  • NPI 1104709088
  NPD
• Project Chesapeake, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn Park, MD
  • NPI 1831691690
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1114591872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W CLAIBORNE RD APT 303",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013449",
            "telephone_number": "443-306-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST STE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215996",
            "telephone_number": "443-406-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CAISIE",
        "middle_name": "MADISON",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "2415",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe-Ann Marie Rooney, RN
• Kathleen Marie Rovito, A.T.C., C.S.C.S.
• Donna Maria Runkles, M.S. L-CADC
• Russell Wellness and Recovery Center LLC
• Russell Wellness and Recovery Center LLC
• Erin L Russell, RN
• S Nashed PA
• Sheelmohan S Sachdev, MD
• Sacred Heart Inc
• April Lorraine Sadler

• Clinical Social Worker in Elkton, MD
• Providers in Elkton, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.