Sheila A Russell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW01192 Issued in RI

Practice address

34 Reservoir Ave
Rehoboth, MA 02769

Phone

(401) 556-9174

NPI assigned

Aug 23, 2006

Last updated

Sep 30, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1356458822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 RESERVOIR AVE",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692906",
            "telephone_number": "401-556-9174",
            "fax_number": "401-455-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 RESERVOIR AVE",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "02769",
            "telephone_number": "401-556-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHEILA",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "LICSW01192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-09464",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lourdes Alves Pino
• Hendrix Richard Pray
• Rehoboth Ambulance Committee, Inc
• James P Ringuette, OTA
• Stephanie Saleh
• Kaitlyn Saucier, LICSW, LADC-I
• Shannon Saumweber
• Serene Counseling and Consulting LLC
• Meaghan L Sherman, M.ED, LMHC

• Clinical Social Worker in Rehoboth, MA
• Providers in Rehoboth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.