Mark Russell, LCSW is a
Social Worker - Clinical based in Punxsutawney, Pennsylvania. Mark Russell is licensed to practice in Pennsylvania (license number CW018496) and his current practice location is
475 Sykesville Troutville Rd, Punxsutawney, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 591-1997.
NPI number for Mark Russell is 1144752221 and his current mailing address is 475 Sykesville Troutville Rd, Punxsutawney, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144752221.
Healthcare Provider's Profile
Full Name | Mark Russell |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 475 Sykesville Troutville Rd, Punxsutawney, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144752221
- Provider Enumeration Date: 03/29/2017
- Last Update Date: 03/29/2017
Medical Identifiers
Medical identifiers for Mark Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144752221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW018496 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Russell, LCSW 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 Ph: (814) 591-1997 | Mark Russell, LCSW 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 Ph: (814) 591-1997 |
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