William Andrew Russell, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10834623-3502 Issued in UT

Practice address

3051 W Maple Loop Dr Ste 210
Lehi, UT 84043-4602

Phone

(801) 872-5516

NPI assigned

Jul 17, 2018

Last updated

May 3, 2023By the provider in NPPES

Sex

Male

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 UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• 9-Line Counseling, PLLC

  • Clinical Social Worker
  • Lehi, UT
  • NPI 1144918012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1871079335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 210",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434602",
            "telephone_number": "801-872-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 210",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434602",
            "telephone_number": "801-872-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5383 S 900 E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841177266",
            "country_code": "US",
            "telephone_number": "801-872-5516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10834623-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots and Wings Family Therapy
• Kathryn Rossa, MOTR/L
• Steven Paul Royall, DPM
• Rebecca Ruff
• Kylie Russell
• Sheila Vaniece Russon, A.P.R.N
• Carol Ryan, RN
• Marisa Ann Ryan, MD
• Laine E Sabey, MPT
• Kaitlyn A. Sacotte, MD

• Clinical Social Worker in Lehi, UT
• Providers in Lehi, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.