Kylie Russell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095226 Issued in IA

Practice address

403 Washington St
Cedar Falls, IA 50613-2840

Phone

(319) 289-0191

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 27, 2026 through Mar 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1265093892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 TERRACE DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136067",
            "telephone_number": "515-494-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132840",
            "telephone_number": "319-289-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KYLIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "095226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kylie@covenantfamilysolutions.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "403 Washington St",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506132840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellie Marie Rose, DPT
• Jason Allen Rose, D.C.
• Kelley Jo Ruehs, DDS
• Faith Elaine Rulapaugh, LPT
• Stacey Ann Runde, MS, RDN, LDN
• Safe Space Therapy
• Ezekiel Sakyiama, MD
• Mycailah Grace Salvador, TLMHC
• Julie Renee Sandell, D.O.,F.P.
• Sartori Memorial Hospital Inc

• Social Worker in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.