Chardae Martinez Russ, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019998 Issued in NC

Practice address

7315 Krume CT Apt 1226
Raleigh, NC 27613-7198

Phone

(919) 327-8349

NPI assigned

Jun 4, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: chardae.russ.d1.p1@direct.bdihs.nextgenshare.com

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1295576072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 KRUME CT APT 1226",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137198",
            "telephone_number": "919-327-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 KRUME CT APT 1226",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137198",
            "telephone_number": "919-327-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "CHARDAE",
        "middle_name": "MARTINEZ",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin D Rusinek, PA-C
• Caroline Rusk
• Gregory J Ruskan, PT
• Rusmed Consultants
• Rusmed1
• Veronica Russ, LMBT
• Russell Meadows Institute
• Adrian Thomas Russell, MSN, RN, FNP-BC
• Amy Elizabeth Russell, FNP
• Brennan Victor Russell, CRNA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.