MS. DIANE GAIL RUSSELL (NPI# 1245380781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245380781 |
| Entity Type | Individual |
| Full Name | MS. DIANE GAIL RUSSELL |
| Credential | M.S.W. |
| Practice Address |
25869 Kelly Rd Suite A Roseville MI 48066-4997 |
| Practice Telephone | 5867736020 |
| Practice Fax Number | 5867736093 |
| Mailing Telephone | 5867736020 |
| Mailing Fax Number | 5867736093 |
| Enumeration Date | 2007-01-10 |
| 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 |
6801066657 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144660218 | Diane Marie Russell | Durable Medical Equipment & Medical Supplies | 2344 Lockport Olcott Rd, Newfane, NY 14108-9510 | 2013-07-03 |
| 1518084300 | Diane L Russell | Acupuncturist | 19007 Ne Davis Rd, Brush Prairie, WA 98606-8756 | 2007-03-25 |
| 1457994089 | Diane R Russell | Family Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2019-10-27 |
| 1821439522 | Diane L. Russell | Pharmacist | 405 N Main St, Kenton, OH 43326-1375 | 2013-07-10 |
| 1003093055 | Diane Mary Russell | Counselor | 4699 N 21st St, Ozark, MO 65721-7684 | 2008-01-22 |
| 1629117213 | Diane Lynn Russell | Registered Nurse | 5893 Camp Rd, Suite 1, Hamburg, NY 14075-4737 | 2007-02-06 |
| Street Address |
25869 KELLY RD SUITE A |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073541769 | Biological Psychiatry Center, P.C. | Marriage & Family Therapist | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2006-06-29 |
| 1649510819 | Biological Psychiatry Center, PC | Psychologist | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2013-02-25 |
| 1558541524 | William D Hanna Md PC | Internal Medicine | 25869 Kelly Rd, Suite C, Roseville, MI 48066-4997 | 2007-11-07 |
| 1689881500 | Christine Keller | Psychologist | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2007-05-17 |
| 1679602916 | Pamela Ann Blair | Counselor | 25869 Kelly Rd, Ste A, Roseville, MI 48066-4997 | 2007-03-04 |
| 1477603397 | Elizabeth Cornelia Derooy | Psychologist | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2007-01-11 |
| 1699824904 | Stanley Stanczak | Social Worker | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2007-01-09 |
| 1124102223 | Kathrine Mobisson IIi | Specialist | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2006-10-25 |
| 1538190038 | Haresh S Mehta | Psychiatry & Neurology | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2006-07-05 |
| 1982632691 | Visala Dandamudi | Psychiatry & Neurology | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1942831615 | Gary Hupp Phd Lcsw and Associates Inc | Social Worker | 735 Sunrise Ave Ste 130, Roseville, CA 95661-4596 | 2020-01-30 |
| 1407407125 | Restorative Mental Wellness Center | Social Worker | 30550 Gratiot Ave Unit 66468, Roseville, MI 48066-6747 | 2019-09-24 |
| 1104327154 | Jean Anne Carll | Social Worker | 4033 Jerome Way, Roseville, CA 95747-9586 | 2018-02-26 |
| 1699205146 | Amanda Ellis,llc | Social Worker | 2960 Snelling Ave N Ste 210, Roseville, MN 55113-2458 | 2017-06-18 |
| 1629520622 | Steps One Step At A Time, LLC | Social Worker | 27730 Brinker St, Roseville, MI 48066-4850 | 2016-10-26 |
| 1588114433 | Jennifer Noricks | Social Worker | 28491 Utica Rd, Ste 106, Roseville, MI 48066-2593 | 2016-10-04 |
| 1043667587 | Andrea Mccormick | Social Worker | 2277 Highway 36 W Ste 310, Roseville, MN 55113-3830 | 2016-05-14 |
| 1770938714 | Lois Garriott | Social Worker | 18650 Florence St, Roseville, MI 48066-4815 | 2016-04-27 |
| 1598120321 | Lindsay Marie Ramirez | Social Worker | 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 | 2015-12-21 |
| 1417328766 | Lauren Cook | Social Worker | 1830 Sierra Gardens Dr Ste 10, Roseville, CA 95661-2942 | 2015-10-13 |
| Find all providers in ROSEVILLE | ||||
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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.