Individual provider Active NPI

Amber Russell, LCSW

  • Clinical Social Worker
  • Cape Elizabeth, ME
National Provider Identifier
1184959223
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13010 Issued in ME
Practice address
85 Old Ocean House Rd
Cape Elizabeth, ME 04107-2632
Phone
(207) 482-9360
NPI assigned
Oct 7, 2009
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3862 NH
Clinical Social Worker 1041C0700X 016985 CT
Clinical Social Worker 1041C0700X LC13010 ME Primary

Addresses

Primary practice location

85 Old Ocean House Rd
Cape Elizabeth, ME 04107-2632

Mailing address

85 Old Ocean House Rd
Cape Elizabeth, ME 04107-2632

Other practice location 1

1232 Storrs Rd
Storrs Mansfield, CT 06268-2232
Phone (207) 482-9360

Other practice location 2

170 Commerce Way Ste 200
Portsmouth, NH 03801-3272
Phone (207) 482-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13010MEMDClinical Social Worker
MC11835MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1184959223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD OCEAN HOUSE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD OCEAN HOUSE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072632",
            "telephone_number": "207-482-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1232 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Storrs Mansfield",
            "state": "CT",
            "postal_code": "062682232",
            "country_code": "US",
            "telephone_number": "207-482-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Commerce Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013272",
            "country_code": "US",
            "telephone_number": "207-482-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3862",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "016985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.