Newt Russell, LMSW
Individual provider Active NPI Clinical Social Worker · Ohkay Owingeh, NM
NPI 1972272094 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1972272094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWB-2025-1153 (NM)
- Practice address
- 327 Eagle Dr
Ohkay Owingeh, NM 87566-3600 - Phone
- (505) 901-3152
- Fax
- (505) 852-1378
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2025-1153 | NM | MD | Clinical Social Worker |
| 1201 | NM | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1201 | NM | |
| Clinical Social Worker | 1041C0700X | SWB-2025-1153 | NM | Yes |
Addresses
Primary practice location
327 Eagle Dr
Ohkay Owingeh, NM 87566-3600
Mailing address
327 Eagle Dr
Ohkay Owingeh, NM 87566-3600
Phone (505) 692-4808
Other providers in Ohkay Owingeh, NM
- Eight Northern Indian Pueblos Council, Inc.
- Melissa Marie Gomez
- Chloe Goodwin
- Felisha Maestas
- Raymond N Povijua
- Patricia Vigil
- Janelle S Ward
All providers in Ohkay Owingeh, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.