Individual provider Active NPI

Karen S. Russell, LMHP LCSW

  • Clinical Social Worker
  • Fremont, NE
National Provider Identifier
1316316391
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1904 Issued in NE
Practice address
515 N D St
Fremont, NE 68025-5051
Phone
(402) 459-1977
Fax
(402) 459-1977
NPI assigned
Sep 19, 2015
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10640 NE
Clinical Social Worker 1041C0700X 1904 NE Primary

Addresses

Primary practice location

515 N D St
Fremont, NE 68025-5051

Mailing address

515 N D St
Fremont, NE 68025-5051
Phone (402) 459-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1904NEMDProfessional Counselor
10640NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen S Russell Current Accepting new patients

Locations

218 E 4th St
#5
Fremont, NE 68025

515 N D St
Fremont, NE 68025
Phone (402) 459-1977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1316316391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-459-1977",
            "fax_number": "402-512-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-459-1977",
            "fax_number": "402-459-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KAREN",
        "middle_name": "S.",
        "credential": "LMHP LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2026-09-29",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "10640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.