Individual provider Active NPI

Linda Russell, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1376934869
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252558 Issued in KY
Practice address
365 Waller Ave
Lexington, KY 40504-2924
Phone
(850) 810-0010
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252558 KY Primary

Addresses

Primary practice location

365 Waller Ave
Lexington, KY 40504-2924

Mailing address

317 Timothy Way
Richmond, KY 40475-2629
Phone (606) 219-9042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200527001278 KY Practitioner - Clinical Social Worker 6901227172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1718 Alexandria Dr
Suite 101
Lexington, KY 40504-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resurrection Treatment Clinics LLC CurrentSince May 20, 2020 Accepting new patients
Stellar Behavioral Health LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients

Locations

7145 E Virginia St
Ste 2000
Evansville, IN 47715
Phone (812) 476-6161

1718 Alexandria Dr
Ste 101
Lexington, KY 40504
Phone (859) 276-1015

1830 Versailles Rd
Lexington, KY 40504
Phone (502) 536-7083

1718 Alexandria Dr
Ste 301
Lexington, KY 40504

1718 Alexandria Dr
Ste 102
Lexington, KY 40504
Phone (502) 536-7083

2211 Greene Way
Ste 220
Louisville, KY 40220
Phone (502) 536-7083

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1376934869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 TIMOTHY WAY",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752629",
            "telephone_number": "606-219-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WALLER AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042924",
            "telephone_number": "850-810-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.