Jesse Richards Russell, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC 5397 Issued in ME

Practice address

106 Maquoit Dr
Freeport, ME 04032-6320

Phone

(207) 671-5598

NPI assigned

Nov 13, 2007

Last updated

Sep 10, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Health Affiliates Maine, LLC

  • Community/Behavioral Health Agency
  • Auburn, ME
  • NPI 1932413556
  Medicare reassignment NPD
• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)
• Gretchen M Sibley, DO PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Gypsum, CO
  • NPI 1780736363
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1235319880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040320597",
            "telephone_number": "207-671-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAQUOIT DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326320",
            "telephone_number": "207-671-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JESSE",
        "middle_name": "RICHARDS",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC 5397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285810099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regenerative Medicine of Maine, LLC (QC Kinetix)
• Regional School Unit No 5
• Resources for Resolving Violence
• Robert Cameron LCSW, LLC
• Joanna Rulf, DO
• Amin M Saab, MS, PT
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic & Sports Physical Therapy)
• Brenda E Sands, N.P.
• Karen E. Saylor, M.D.

• Clinical Social Worker in Freeport, ME
• Providers in Freeport, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.