Active NPI
Naomi Russell
- Social Worker
- Farmerville, LA
National Provider Identifier
1720748601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18888
- Practice address
- 1117 Marion Hwy
Farmerville, LA 71241-9313 - Phone
- (318) 503-8681
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18888 | LA | Primary |
Addresses
Primary practice location
1117 Marion Hwy
Farmerville, LA 71241-9313
Mailing address
1117 Marion Hwy
Farmerville, LA 71241-9313
Other practice location 1
1112 Nolan Trace
Leesville, LA 71446
Phone (337) 404-7731
Other practice location 2
1162 Oliver Rd Ste 4
Monroe, LA 71201-5757
Phone (318) 855-6630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18888 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Children'S Home of Ohio | Past | Accepting new patients | |
| Christian Children'S Home of Ohio | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cchoo/r4/
Organizations & group practices 2
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.
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- Wooster, OH
- NPI 1588694590
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wooster, OH
- NPI 1871161539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1720748601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 MARION HWY",
"city": "FARMERVILLE",
"state": "LA",
"postal_code": "712419313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 MARION HWY",
"city": "FARMERVILLE",
"state": "LA",
"postal_code": "712419313",
"telephone_number": "318-503-8681"
}
],
"practiceLocations": [
{
"address_1": "1112 Nolan Trace",
"address_purpose": "LOCATION",
"city": "Leesville",
"state": "LA",
"postal_code": "71446",
"country_code": "US",
"telephone_number": "337-404-7731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1162 Oliver Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712015757",
"country_code": "US",
"telephone_number": "318-855-6630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "NAOMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "18888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmerville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.