Lori Russell-Siemer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35860 Issued in TX

Practice address

1703 Peyco Dr N Ste L
Arlington, TX 76001-6701

Phone

(817) 854-4991

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lori Russell-Siemer LLC

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1588286504
  Medicare reassignment NPD Authorized official
• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Siemer LLC

  • Point of Service
  • Arlington, TX
  • NPI 1114482718
  NPD Authorized official

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1609349489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 PEYCO DR N STE L",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016701",
            "telephone_number": "817-854-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 PEYCO DR N STE L",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016701",
            "telephone_number": "817-854-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-SIEMER",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush Creek Counseling Center
• Rush Creek Counseling Center
• Rush Creek Emergency Physicians PLLC
• Rushing Into Wellness
• Qiana Jeanette Rushing, LPC, MBA, M.A.R.C.
• Allison Marie Russell, ATC
• Bobbie Jean Russell, LCSW
• David Dee Russell, M.D.
• James Russell Jr., PHARMD
• Lauren Russell

• Clinical Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.