MRS. LESLIE RUSSELL (NPI# 1316998628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316998628 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE RUSSELL |
| Credential | LICSW |
| Practice Address |
3 Essex Green Dr Suite One Peabody MA 01960-2913 |
| Mailing Address |
16 Memorial Dr Salem MA 01970-5262 |
| Practice Telephone | 9789795371 |
| Practice Fax Number | 9785326366 |
| Mailing Telephone | 9789795371 |
| Mailing Fax Number | 9785326366 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
113113 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | PO8617 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285890533 | Leslie Anne Russell | Licensed Practical Nurse | 1310 Silverwood Ln, Erie, PA 16505-5208 | 2008-08-05 |
| 1417156795 | Leslie L Russell | Social Worker | 514 S Dargan St Ste H, Florence, SC 29506-2552 | 2007-07-16 |
| 1730273160 | Leslie A. Russell | Radiology | 401 15th Ave S Suite 204, Radilogy Montana, PC, Great Falls, MT 59405 | 2006-10-02 |
| 1275526782 | Leslie W Russell | Pharmacist | 415 S 42nd St, Mount Vernon, IL 62864-6266 | 2005-08-30 |
| 1417453820 | Leslie Linnea Russell | Counselor | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2018-04-04 |
| 1609038447 | Leslie S Russell | Social Worker | 210 S Rio Grande St, Salt Lake City, UT 84101-1104 | 2008-07-01 |
| Street Address |
3 ESSEX GREEN DR SUITE ONE |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729331 | Deborah A Clark | Nurse Practitioner | 3 Essex Green Dr, Peabody, MA 01960-2913 | 2005-12-02 |
| 1407120793 | Karen M Nielsen | Social Worker | 3 Essex Green Dr, Suite 5r, Peabody, MA 01960-2927 | 2012-03-03 |
| 1669740320 | Marianne Shrewsberry | Counselor | 3 Essex Green Dr, Suite 5r, Peabody, MA 01960-2927 | 2011-12-09 |
| 1891017430 | Gross Young Enterprises, Inc | Counselor | 3 Essex Green Dr, Suite #1, Peabody, MA 01960-2927 | 2010-02-24 |
| 1033329461 | Rebecca Ann Snow | Counselor | 3 Essex Green Dr, Suite6, Peabody, MA 01960-2927 | 2007-05-23 |
| 1861513392 | Susan Swatling | Social Worker | 3 Essex Green Dr, Suite 1, Peabody, MA 01960-2927 | 2007-04-02 |
| 1083731814 | Ruth Krigbaum Rich | Psychologist | 3 Essex Green Dr, Peabody, MA 01960-2927 | 2007-03-25 |
| 1215079488 | Rosanne Phillips | Social Worker | 3 Essex Green Dr, Suite One, Peabody, MA 01960-2927 | 2007-02-13 |
| 1568528511 | John Edward Szatkowski | Counselor | 3 Essex Green Dr, Ste. One, Peabody, MA 01960-2927 | 2006-12-27 |
| 1336230044 | Stephanie M. Kriesberg | Counselor | 3 Essex Green Dr, Suite 1, Peabody, MA 01960-2927 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1821600909 | Amc Counseling Solutions,llc | Social Worker | 10 Union St Ste A, Peabody, MA 01960-4432 | 2020-08-19 |
| 1386262178 | Moving Forward Counseling Services, LLC | Social Worker | 40 Lowell St Ste 13, Peabody, MA 01960-5400 | 2020-07-08 |
| 1275158560 | Saad Chowdhry | Social Worker | 1r Newbury St Ste Suite403, Peabody, MA 01960-4065 | 2020-06-11 |
| 1689141749 | Catherine E Michaud | Social Worker | 31 Lenox Rd Unit 2, Peabody, MA 01960-1816 | 2018-10-26 |
| 1487135539 | David A. Cuna | Social Worker | 19 Carlton St, Peabody, MA 01960-5215 | 2018-08-27 |
| 1295212520 | Alison Marie Bonita | Social Worker | 53 Harrison Ave, Peabody, MA 01960-2239 | 2018-07-19 |
| 1326580101 | Maria Champigny | Social Worker | 15 Bow St, Peabody, MA 01960-3427 | 2016-11-10 |
| 1710323035 | Rebekah Elizabeth Gibbons | Social Worker | 1r Newbury St Ste 211, Peabody, MA 01960-3816 | 2013-05-14 |
| 1780970061 | Seth Boynton | Social Worker | 1 Arnold Rd, Peabody, MA 01960-5203 | 2011-06-24 |
| 1750691176 | Tonimarie Sher | Social Worker | 16 Florence Rd, Peabody, MA 01960-5716 | 2010-10-19 |
| Find all providers in PEABODY | ||||
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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.