Individual provider Active NPI

Megan L Russell, LISW

  • Clinical Social Worker
  • Kenton, OH
National Provider Identifier
1215269444
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0900329 Issued in OH
Practice address
111 W Espy St
Kenton, OH 43326-2117
Phone
(419) 679-5994
Fax
(419) 225-8878
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 I.0900329 OH Primary

Addresses

Primary practice location

111 W Espy St
Kenton, OH 43326-2117

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100909000432 OH Practitioner - Clinical Social Worker 8123143591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0900329OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Jul 9, 2018 Accepting new patients
Health Partners of Western Ohio CurrentSince Jul 9, 2018 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients

Locations

228 S Main St
Bryan, OH 43506
Phone (567) 239-4562

1018 Ralston Ave
Defiance, OH 43512
Phone (419) 567-2138

631 Wildcat Way
Rm 1409
Kenton, OH 43326
Phone (419) 673-0775

631 Wildcat Way
Kenton, OH 43326
Phone (419) 673-7248

111 W Espy St
Kenton, OH 43326
Phone (419) 679-5994

200 Harding Ave
Kenton, OH 43326
Phone (419) 673-1286

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

441 E 8th St
Lima, OH 45804
Phone (419) 221-3723

329 N West St
Lima, OH 45801
Phone (419) 229-6007

1550 N Main St
Lima, OH 45801
Phone (419) 516-0327

106 N Main St
New Carlisle, OH 45344
Phone (937) 667-1122

1344 W Seneca Ave
Tiffin, OH 44883
Phone (419) 447-6900

Organizations & group practices 3

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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1215269444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ESPY ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262117",
            "telephone_number": "419-679-5994",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.