Active NPI
Lori Russell, LLC
- Social Worker
- Springfield, OR
National Provider Identifier
1497326409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- LORI RUSSELL, LLC
- Practice address
- 380 Q St
Springfield, OR 97477-2120 - Phone
- (541) 726-4118
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Ann Russell, LCSW, CADC III
- Title
- Owner/Therapist
- Phone
- (541) 726-4118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
380 Q St
Springfield, OR 97477-2120
Mailing address
PO Box 148
Springfield, OR 97477-0171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
609 E Main St
Cottage Grove, OR 97424
Phone (541) 726-4118
380 Q St
Springfield, OR 97477
Phone (541) 606-5954
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- La Grande, OR
- NPI 1538331780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1497326409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974770171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 Q ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772120",
"telephone_number": "541-726-4118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI RUSSELL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "541-726-4118",
"authorized_official_credential": "LCSW, CADC III"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.