Sarah Lynn Russell, BSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW38260 Issued in ID

Practice address

550 W Sunnyside Rd Ste 1
Idaho Falls, ID 83402-4642

Phone

(208) 529-5777

Fax

(208) 529-5778

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 15, 2025 through Oct 15, 2027

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.

• Creekside Counseling

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1063574226
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1992342398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 W 49TH S",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025726",
            "telephone_number": "208-520-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W SUNNYSIDE RD STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024642",
            "telephone_number": "208-529-5777",
            "fax_number": "208-529-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "BSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW38260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ruiz-Gruwell, NP-C
• Brooke Sue Rupe, COTA/L
• Michael Rupp
• Russell Guymon Orthodontics, PA
• Daric J Russell, DO
• Lisa J Russom, LSW
• Orin Kelley Ryan, DPT
• Rhonda Ryan, L.M.T.
• S. Albertson Dermatology and Skin Cancer Center LLC
• S&G Home Health LLC (Alliance Home Health Care)

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.