Andrea Marie Russell, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7100 Issued in KS

Practice address

23140 Moakley St Ste 623140
Leonardtown, MD 20650-2930

Phone

(301) 690-8404

NPI assigned

Jul 8, 2008

Last updated

Oct 9, 2023By 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 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope and Healing Psychotherapy, LLC

  • Clinical Social Worker
  • Leonardtown, MD
  • NPI 1225593361
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1467615575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23247 WHITE BIRCH CT APT 127",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206196056",
            "telephone_number": "785-207-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 623140",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502930",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21770 FDR Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206534080",
            "country_code": "US",
            "telephone_number": "301-997-1300 x835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "7100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rowe
• Natalie Ann Rowe, LMSW
• Kaitlin R Ruether, PA-C
• Melinda Ruppert, LGPC
• Bianca Ruslander, LCSW-C
• Dana Marie Russell, CRNP
• Carilynn Wright Rutledge, MSN, CNM
• S.J. Woodward Psychotherapy, LLC
• Jennifer Salter, M.ED.
• Rashmi T Samdani, M.D.

• Clinical Social Worker in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.