Mr Thomas Charles Russell Sr, SOCIAL WORK - Clinical Social Worker in Richfield, UT

Mr Thomas Charles Russell Sr, SOCIAL WORK is a Social Worker - Clinical based in Richfield, Utah. Mr Thomas Charles Russell Sr is licensed to practice in Utah (license number 12282390-3501) and his current practice location is 449 N Sr 118, Richfield, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 201-9389.

NPI number for Mr Thomas Charles Russell Sr is 1235957044 and his current mailing address is 195 N 1950 W, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235957044.

Contact Information

Mr Thomas Charles Russell Sr, SOCIAL WORK
449 N Sr 118,
Richfield, UT 84701-2378
(435) 201-9389
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Thomas Charles Russell Sr
GenderMale
SpecialitySocial Worker - Clinical
Location449 N Sr 118, Richfield, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235957044
  • Provider Enumeration Date: 09/30/2024
  • Last Update Date: 09/30/2024

Medical Identifiers

Medical identifiers for Mr Thomas Charles Russell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235957044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW-15843 (Arizona)Secondary
1041C0700XSocial Worker - Clinical 12282390-3501 (Utah)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. Mr Thomas Charles Russell Sr 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 AddressPractice Location Address
Mr Thomas Charles Russell Sr, SOCIAL WORK
195 N 1950 W,
Salt Lake City, UT 84116-3100

Ph: (435) 201-9389
Mr Thomas Charles Russell Sr, SOCIAL WORK
449 N Sr 118,
Richfield, UT 84701-2378

Ph: (435) 201-9389

Reviews and Comments


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Phone: 435-201-9576    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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