Julia H Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0443661 Issued in NY

Practice address

4363 Mapleton Rd
Lockport, NY 14094-9652

Phone

(716) 210-2376

Fax

(716) 210-2325

NPI assigned

Oct 10, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family & Children'S Service of Niagara, Inc

  • Case Management Agency
  • Niagara Falls, NY
  • NPI 1447398755
  NPD (past)
• Family & Children'S Service of Niagara, Inc

  • Community/Behavioral Health Agency
  • Niagara Falls, NY
  • NPI 1982932448
  NPD (past)
• Starpoint Central School District

  • Local Education Agency (LEA)
  • Lockport, NY
  • NPI 1063577930
  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1861776734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 MAPLETON ROAD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140289652",
            "telephone_number": "716-210-2376",
            "fax_number": "716-210-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 MAPLETON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949652",
            "telephone_number": "716-210-2376",
            "fax_number": "716-210-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JULIA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0443661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle F Rosen, LCSWR CASAC
• Carol L Ross, LCSWR
• Marie E. Roth, LMSW
• Rudolph M Sada, MD
• David S Russell, RPA-C
• Margaret Russell, DC
• Richard Rutherford, LMSW
• Julia Rutland, RN
• Alexandra R Ryan, LPN
• Kiersten Anne Ryndak, PT

• Clinical Social Worker in Lockport, NY
• Providers in Lockport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.