MRS. NICOLE S RUSSELL (NPI# 1083816789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083816789 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE S RUSSELL |
| Other Name | MISS NICOLE S BROWN |
| Credential | BSW |
| Practice Address |
3550 Se Woodward St Portland OR 97202-1552 |
| Mailing Address |
2307 Nw Schmidt Way Apt. 12 Beaverton OR 97006-4793 |
| Practice Telephone | 5038137757 |
| Mailing Telephone | 5039982715 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053544890 | Nicole Ann Russell | Nurse Practitioner | 330 Franklin Rd Ste 302, Brentwood, TN 37027-3213 | 2009-08-27 |
| 1922564111 | Nicole Russell | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-02-13 |
| 1528574621 | Nicole Michelle Russell | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2017-12-27 |
| 1205389871 | Nicole Russell | Physical Therapist | 247 Broad St, Suite 3, Milford, CT 06460-3273 | 2016-07-29 |
| 1982017968 | Nicole Elizabeth Russell | Family Medicine | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2014-06-06 |
| 1528322427 | Nicole Russell | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2012-06-26 |
| 1770882516 | Nicole Russell | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2011-03-18 |
| 1194895060 | Nicole L Russell | Physical Therapist | 75 Francis St, Boston, MA 02115-6110 | 2006-11-08 |
| Street Address |
3550 SE WOODWARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295899649 | Jamie Vandergon | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2006-12-20 |
| 1235426404 | Colleen Michelle Conklin | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-07-07 |
| 1669766689 | Seth C Cordell | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-06-07 |
| 1366735326 | Megan Ann Andersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-05-24 |
| 1134410046 | Cindy L Petersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1265723191 | Christopher Laurence Anderson | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1588962732 | Ivana Micanovic | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-11 |
| 1457659781 | Christopher Pate | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-10 |
| 1518265933 | Jay N Cacka | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-09 |
| 1740582295 | Jennifer Joy Loop | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.