Laura Russell, LCSW-C LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26312 Issued in MD

Practice address

8259 Baltimore Annapolis Blvd
Pasadena, MD 21122-1237

Phone

(410) 630-1064

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Ms. Laura Popp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 5, 2024 through Oct 5, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1770118028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S SCHROEDER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232613",
            "telephone_number": "443-600-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 BALTIMORE ANNAPOLIS BLVD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221237",
            "telephone_number": "410-630-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7793 E Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211221540",
            "country_code": "US",
            "telephone_number": "443-600-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA3275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "POPP",
            "prefix": "MS.",
            "credential": "POPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen U Roller, FNP
• David George Rorison, M.D.
• Zachary Roy
• Jatara Rozario, OT
• Nancy Ruff Rozgony, MS, RDN, LD
• Jawad Saade, M.D
• Adam Christopher Sachs, RD
• Joel S. Sachs, D.D.S.
• Sadie Serenity Creekside
• Safe Harbor Christian Counseling of Annapolis

• Clinical Social Worker in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.