Katie Natale Russell, MSSA, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1802991 Issued in OH

Practice address

6200 Rockside Woods Blvd N Ste 305
Independence, OH 44131-2343

Phone

(586) 945-1381

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1881178705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 WYNCOTE RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213114",
            "telephone_number": "586-945-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 ROCKSIDE WOODS BLVD N STE 305",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312343",
            "telephone_number": "586-945-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 Wyncote Rd",
            "address_purpose": "LOCATION",
            "city": "South Euclid",
            "state": "OH",
            "postal_code": "441213114",
            "country_code": "US",
            "telephone_number": "586-945-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KATIE",
        "middle_name": "NATALE",
        "credential": "MSSA, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherome Tiara Ross, MSN, FNP
• Rachel Rossi
• Joann Rucker
• Jocelyn Tugaoen Russ, M.D.
• Paul Gerard Russ, D.D.S.
• Jack Rutkowski, MD
• Robert J Rutkowski, MD
• Julina Marie Sabo, P.T.
• Karen Sacco, MS
• Anna Sahlani

• Social Worker in Independence, OH
• Providers in Independence, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.