MS. SUSAN MARIE RUSSELL


Address: 4018 Medina Rd Ste D, Medina, OH 44256-9675
Phone: 3308409385

MS. SUSAN MARIE RUSSELL (NPI# 1235348137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235348137
Entity Type Individual
Full Name MS. SUSAN MARIE RUSSELL
Credential LISW-S
Practice Address 4018 Medina Rd Ste D
Medina
OH 44256-9675
Practice Telephone 3308409385
Mailing Telephone 3308409385
Enumeration Date 2007-05-21
Last Update Date 2019-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
011327 OH Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
I0700087 OH Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1101 Summit Rd., Summit Behavioral Healthcare, Cincinnati, OH 45237 5139483867

Other Providers SUSAN RUSSELL

NPI Name Taxonomy Address Enumeration
1184045379 Susan Elizabeth Russell Counselor 201 Maple St, East Jordan, MI 49727-9620 2013-12-15
1477806396 Susan Kay Russell Licensed Practical Nurse 913 W Holmes Rd Ste 189, Lansing, MI 48910-0434 2012-10-16
1083895296 Susan Payne Russell Social Worker 1085 Tunnel Road, Suite#3, Asheville, NC 28805-2039 2007-11-15
1811000441 Susan Ann Russell Pharmacist I-40, Exit 102, San Fidel, NM 87049 2006-08-17
1194733618 Susan M. Russell Speech-Language Pathologist 10749 E 29th Pl, Tulsa, OK 74129-7805 2006-08-03
1134501810 Susan Hallie Russell Counselor 5855 Executive Center Dr Ste 104, Charlotte, NC 28212-8880 2015-06-18
1558644617 Susan F Russell Psychologist 4343 Shallowford Rd, Suite H-5, Marietta, GA 30062-5023 2011-09-26
1245486331 Susan Renee Russell Internal Medicine 675 N Saint Clair St, Suite 18-250, Chicago, IL 60611-5975 2008-08-08
1477717577 Susan C Russell Counselor 175 W B St Ste I, Springfield, OR 97477-4575 2008-07-17
1487793907 Susan M. Russell Counselor 319 Union St, Bangor, ME 04401-4607 2007-02-05

Office Location

Street Address 4018 MEDINA RD STE D
City MEDINA
State OH
Zip Code 44256-9675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356712897 Lindsey Fusillo Counselor 4018 Medina Rd Ste D, Medina, OH 44256-9675 2015-10-09
1144612300 Cornerstone Psychological & Counseling Services of Northeast Ohio Clinic/Center 4018 Medina Rd Ste D, Medina, OH 44256-9675 2015-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577408 Phil Mcclelland Counselor 520 Miller Dr, Medina, OH 44256 2020-01-15
1619519444 Lauren Marie Blakney Nurse Practitioner 970 E Washington St., Medina, OH 44256 2019-10-14
1558922286 Jennifer Sue Arhin Nurse Practitioner 807 E Washington St., Ste 220, Medina, OH 44256 2019-06-24
1891263927 Jena Christine Palmer Nurse Practitioner 817 E Washington Street, Medina, OH 44256 2018-11-07
1154849891 Janelle Liggett-schultz Licensed Practical Nurse 8170 Coon Club Rd, Medina, OH 44256 2017-09-01
1942725478 Amanda Kay Byrne Registered Nurse 1000 Concord Dr., Medina, OH 44256 2017-08-05
1821526922 Melissa Marie Rutti Nurse Practitioner 111 Reagan Pkwy, Medina, OH 44256 2017-06-01
1992238919 Lisa Scherler Speech-Language Pathologist 3880 Ridge Rd., Medina, OH 44256 2017-04-06
1770026502 Victoria Lee Ayala Speech-Language Pathologist 390 Fair Street, Berea, OH 44256 2016-11-28
1982076626 Finding Your Identity LLC Community/Behavioral Health 124 West Lafayette Road, Suite 100, Medina, OH 44256 2015-10-21
Find all providers in zip 44256

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770181661 Sonya Carol Goodrich Social Worker 320 Spring Creek Hwy, Medina, TN 38355-9779 2020-10-13
1992369813 Courtney Michelle Ott Social Worker 111 Glenshire Ln, Medina, OH 44256-8165 2019-04-25
1720544299 Swan Counseling LLC Social Worker 750 E Washington St Ste D2, Medina, OH 44256-2137 2019-02-20
1770055709 Christine M Gemberling Social Worker 3591 Reserve Commons Dr Ste 3013591, Medina, OH 44256-5334 2019-01-02
1174006027 Marian Heyink Social Worker 1133 Granger Rd, Medina, OH 44256-8478 2018-09-06
1184089583 Julianne Foster Social Worker 246 Northland Dr Ste 130, Medina, OH 44256-3440 2015-12-30
1154740173 Connections Family Counseling LLC Social Worker 799 N Court St, Suite 3, Medina, OH 44256-1765 2014-04-08
1851533673 Bridget Simone Richard Social Worker 323 S Court St Ste 210, Medina, OH 44256-3715 2009-03-25
1528282506 Kristin Leigh Fox Social Worker 1065 Medina Rd Ste 300, Medina, OH 44256-5374 2007-04-12
1144233271 Rolf Edwin Wicks Social Worker 445 W Liberty St, Suite 225, Medina, OH 44256-2273 2006-08-13
Find all providers in MEDINA

Competitor

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City MEDINA
Zip Code 44256

Improve Information

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Dataset Information

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.

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