Shannon Rebecca Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

434 Scott Blvd
Life Point Solutions
Covington, KY 41011

Phone

(859) 547-5777

Fax

(859) 655-4882

NPI assigned

Jul 8, 2014

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)

Enrolled

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1366858557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SCOTT BLVD",
            "address_2": "LIFE POINT SOLUTIONS",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-240-0714",
            "fax_number": "859-655-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SCOTT BLVD",
            "address_2": "LIFE POINT SOLUTIONS",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-547-5777",
            "fax_number": "859-655-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHANNON",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSVP Equipment of Greater Cincinnati, LLC
• RSVP Equipment of Greater Cincinnati, LLC
• Kathleen Ann Rudnick, R.N.
• Susan Ruedy, M.A.
• Autumn R Ruehl, CSW
• Thomas Woodrow Russell, RPH
• Stacie Hope Rutar, MSW,CSW,LISW, LCSW
• Julia Marie Sager, DPT
• Giovanna Salas-Crawford
• Shelby Sallade, M.ED.

• Clinical Social Worker in Covington, KY
• Providers in Covington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.