John Russum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q10000855 Issued in DE

Practice address

21444 Carmean Way
Georgetown, DE 19947-4572

Phone

(302) 855-1233

NPI assigned

Aug 21, 2006

Sex

Male

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 DE

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Red Health Center IncGroup PAC ID 4789668815, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1700832185
  Medicare reassignment Care Compare group NPD
• La Red Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocean View, DE
  • NPI 1922535616
  NPD
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1497071161
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1407961022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Horsepond Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199017232",
            "country_code": "US",
            "telephone_number": "302-744-7688",
            "fax_number": "302-735-3856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 High St",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733940",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 W Clarke Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631849",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSUM",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "Q10000855",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Rodriguez Ochoa
• Christa Rodriguez
• Katherine Marguerite Rogers, MSW, LCSW-C, LCSW
• Amy Rountree
• James Paul Rupp, M.D.
• Nina Saarikko, M.A. CCC-SLP
• Leena Samuel Saj, CRNP
• Jeffrey Salevan, LCDCIII
• Salvatore F Salfi, NP
• Marisel Santiago Gonzalez, M.D.

• Clinical Social Worker in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.