Active NPI
Qunesha Russell
- Clinical Social Worker
- Sebring, FL
National Provider Identifier
1780577445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24835
- Practice address
- 1103 Scarab Dr
Sebring, FL 33872-2746 - Phone
- (863) 245-5724
- Fax
- (863) 245-5724
- NPI assigned
- Jun 2, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW24835 | FL | Primary |
Addresses
Primary practice location
1103 Scarab Dr
Sebring, FL 33872-2746
Mailing address
1103 Scarab Dr
Sebring, FL 33872-2746
Phone (863) 245-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW24835 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Wellbeing LLC | Clinical | Current | Accepting new patients |
Locations
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1780577445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 SCARAB DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722746",
"telephone_number": "863-245-5724",
"fax_number": "863-245-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 SCARAB DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722746",
"telephone_number": "863-245-5724",
"fax_number": "863-245-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "QUNESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.