Organization Active NPI

Russell Wellness LLC

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1982249330
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RUSSELL WELLNESS LLC
Practice address
5725 Forward Ave Ste 300
Pittsburgh, PA 15217-2286
Phone
(412) 508-9010
NPI assigned
Nov 8, 2019
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Tiffanie Russell, LCSWNPI 1104281146
Title
Therapist
Phone
(412) 508-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5725 Forward Ave Ste 300
Pittsburgh, PA 15217-2286

Mailing address

4001 Meadowbrook Blvd
Pittsburgh, PA 15227-3415
Phone (412) 508-9010

Other practice location 1

2345 Murray Ave Ste 305
Pittsburgh, PA 15217-2352
Phone (203) 671-4882

National Provider Directory

National Provider Directory

Locations

5725 Forward Ave
Ste 300
Squirrel Hill, PA 15217
Phone (412) 508-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1982249330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MEADOWBROOK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273415",
            "telephone_number": "412-508-9010",
            "fax_number": "412-435-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 FORWARD AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172286",
            "telephone_number": "412-508-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Murray Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172352",
            "country_code": "US",
            "telephone_number": "203-671-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSELL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "412-508-9010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.