Elysia Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2023-1117 Issued in NM

Practice address

313 W Apache St
Farmington, NM 87401-5835

Phone

(505) 325-5321

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

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.

• Serenity Psychotherapy LLC

  • Clinical Social Worker
  • Farmington, NM
  • NPI 1366363442
  NPD (past) Authorized official
• Choices Behavioral Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, NM
  • NPI 1134194483
  NPD (past)
• Family Crisis Center Inc.

  • Case Management Agency
  • Farmington, NM
  • NPI 1144379264
  NPD (past)
• Pivots Potential LLC

  • Clinical Social Worker
  • Hagerstown, MD
  • NPI 1659097525
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1114680071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-325-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-325-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 18th St Ste 2350",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021936",
            "country_code": "US",
            "telephone_number": "844-257-1461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Mountain Road Pl NE # 4433",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107845",
            "country_code": "US",
            "telephone_number": "888-458-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ELYSIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13375769-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Taylor Rowse, DC
• Sarah Rubow, LCSW
• Kyle Ellis Ruckman, PA-C
• Jonathan B Rudolf, M.D.
• Roger G. Rung, P.T.
• Gordon D. Russell, O.D.
• Lacy Russell, WHNP-BC
• Virginia Russell
• Michael Joseph Rutledge, M.D.
• Ryan H Wilson DDS LLC

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.