Sarah J Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094047 Issued in MI

Practice address

2462 Havenwood CT
Carson City, NV 89706-2347

Phone

(616) 581-1800

NPI assigned

Mar 22, 2013

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

Enrolled in NV

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

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.

• Gentry Integrated Sleep and Wellness PLLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1154744738
  Medicare reassignment NPD
• Family Outreach Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1619980927
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1699017186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 HAVENWOOD CT",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062347",
            "telephone_number": "616-581-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 HAVENWOOD CT",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062347",
            "telephone_number": "616-581-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Colrain St SW",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495481013",
            "country_code": "US",
            "telephone_number": "616-988-1479",
            "fax_number": "616-988-1493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Rush, BA
• Christine L Rushing, RN
• Brian Kona Russell, D.C.
• Carissa Russell, LMSW, CSW-I, M.ED.
• Ruth Gale Russell, LMSW
• Steven Russell
• Antonio Joseph Russo
• Aida Jennifer Rutledge, MD
• Lynn Ruttinger
• Paul McCafferty Ryan, MD

• Clinical Social Worker in Carson City, NV
• Providers in Carson City, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.