MS. JAIZANE ALEXIS RUSSELL (NPI# 1982189247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982189247 |
| Entity Type | Individual |
| Full Name | MS. JAIZANE ALEXIS RUSSELL |
| Practice Address |
30 Northwest Ave Ste 120 Tallmadge OH 44278-1808 |
| Mailing Address |
286 Cross St Akron OH 44311-1604 |
| Practice Telephone | 3306334187 |
| Mailing Telephone | 9378189506 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1903283 | OH | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
30 NORTHWEST AVE STE 120 |
| City | TALLMADGE |
| State | OH |
| Zip Code | 44278-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698624 | Nicole Lynn Friend | Social Worker | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2013-10-28 |
| 1164048435 | Sarah Christine Krizmanich | Case Manager/Care Coordinator | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2020-06-22 |
| 1215434014 | Ann Marie Porter | Social Worker | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2018-04-09 |
| 1649796053 | Alexis Ann Margaret Mcdonald | Social Worker | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2017-08-17 |
| 1326495870 | Kevin James Hawes | Counselor | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2016-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110351 | Sandra Schafer | Homemaker | 273 North Thomas Rd, Tallmadge, OH 44278 | 2020-09-29 |
| 1972071355 | Forever Home Health LLC | Nursing Care | 982 Atwood Dr, Tallmadge, OH 44278 | 2018-11-05 |
| 1235656554 | Corliss J. Mayle | Social Worker | 30 Northwest Ave., Tallmadge, OH 44278 | 2017-08-28 |
| 1477079739 | Wilfredo E Torres | Social Worker | 30 Northwest Avenue, Building A, Suite 120, Tallmadge, OH 44278 | 2017-08-18 |
| 1518377936 | Shasta O'neal | Licensed Practical Nurse | 72 N. Thomas Rd, Apt 10 B, Tallmadge, OH 44278 | 2014-05-07 |
| 1952593709 | Judith Marie Mitchell | Home Health Aide | 65 Community Road, Pioneer Physicians Netword, Tallmadge, OH 44278 | 2007-08-15 |
| 1336340504 | University Primary Care Practices Inc | Clinic/Center | 145 West Ave Ste 2, Tallmadge, OH 44278 | 2007-05-29 |
| 1609098631 | Kenneth L Penix II | Case Manager/Care Coordinator | 392 Northwest Ave, Tallmadge, OH 44278 | 2007-05-02 |
| 1215158308 | Humberto Gonzales Caballero | Driver | 919 Sunset View Blvd, Tallmadge, OH 44278 | 2007-05-02 |
| 1891863940 | Gerald Sisko | Dentist | 193 East Ave, Tallmadge, OH 44278 | 2006-11-30 |
| Find all providers in zip 44278 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076560 | Helen Sue Hart | Social Worker | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-01-07 |
| 1235656554 | Corliss J. Mayle | Social Worker | 30 Northwest Ave., Tallmadge, OH 44278 | 2017-08-28 |
| 1871019315 | Elizabeth Kapity | Social Worker | 30 Northwest Ave Bldg Suite120, Tallmadge, OH 44278-1808 | 2017-08-16 |
| 1548698624 | Nicole Lynn Friend | Social Worker | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2013-10-28 |
| 1447684741 | Chris Derry | Social Worker | 12 Southwest Ave, Tallmadge, OH 44278-2269 | 2013-08-22 |
| 1770805822 | Jennifer Howard Grimm | Social Worker | 1074 Morningview Dr, Tallmadge, OH 44278-1162 | 2010-02-17 |
| 1962624163 | Felicia L Phelps | Social Worker | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2007-05-03 |
| 1982265724 | Robert Malvin Beadle | Social Worker | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-06-24 |
| 1538727854 | Noelle Connell | Social Worker | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2019-06-01 |
| 1093282105 | Alyssa Lynn Paul | Social Worker | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2018-10-26 |
| Find all providers in TALLMADGE | ||||
Please comment or provide details below to improve the information on MS. JAIZANE ALEXIS RUSSELL.
| 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.