Jillian Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8808-C Issued in AR

Practice address

300 S Rodney Parham Rd Ste 12
Little Rock, AR 72205-4774

Phone

(501) 575-2344

NPI assigned

Feb 27, 2007

Last updated

Sep 4, 2024By 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

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reach Behavioral HealthGroup PAC ID 6103256052, 4 clinicians

Bedrock PsychiatryGroup PAC ID 7315446861, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reach Behavioral Health

  • Clinical Social Worker
  • Benton, AR
  • NPI 1093379935
  Medicare reassignment Care Compare group NPD
• Bedrock Psychiatry

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1013723048
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1851428742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD STE 12",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054774",
            "telephone_number": "501-575-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RODNEY PARHAM RD STE 12",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054774",
            "telephone_number": "501-575-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8808-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Russell
• Ida Alicia Russell, ATC
• James Shepherd Russell IV, M.D.
• Jared Russell, RPH
• Jeffrey C. Russell, CRNA
• Katherine Russell, MHPP
• Kimwonyanna Russell
• Lashonda Russell, LAC
• Lawrence Russell
• Ronald Russell II, QBHP

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.

Verify at the official NPI Registry.