Emily Danielle Hoffman Russell, MSW/LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901521 Issued in OH

Practice address

335 Glessner Ave FL Mob5
Mansfield, OH 44903-2269

Phone

(419) 756-2003

Fax

(419) 756-3637

NPI assigned

Sep 26, 2013

Last updated

Sep 11, 2019By 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 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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1699102343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 E WALNUT ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025145",
            "telephone_number": "419-310-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE FL MOB5",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-756-2003",
            "fax_number": "419-756-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "EMILY",
        "middle_name": "DANIELLE HOFFMAN",
        "credential": "MSW/LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan M Rundle, PT, DPT
• Runyon's
• Candace L. Rush
• Jessica Rush, LPC
• Judith Rush, TO
• Gary Lee Russell, LPCC-S, LICDC
• Madeline C Russell, LPTA
• Robyn Russell
• Sharon Marie Russell, OTR/L
• Thomas A. Russell, M.A., M.ED., LPCC

• Clinical Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.