Beverly Hope Russell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006953 Issued in VA

Practice address

5834 N Kings Hwy Ste D
Alexandria, VA 22303-2039

Phone

(703) 317-1541

Fax

(703) 317-1531

NPI assigned

Nov 3, 2008

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1548413610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 N KINGS HWY STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032039",
            "telephone_number": "703-317-1541",
            "fax_number": "703-317-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 N KINGS HWY STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032039",
            "telephone_number": "703-317-1541",
            "fax_number": "703-317-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BEVERLY",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Donya Rush
• Ruth Zafren Ruskin, L.C.S.W.
• Matthew Revere Rusling
• Akimyo Champion Russell, FNP
• Annemarie Russell, LCSW,ACSW,MPH
• Derek Russell
• Timothy Elmer Russell III
• William A Russell, M.D.
• Debra A. Russo Houri, MS, CCN
• Jessica Russo Revand, DMD, MS

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.