Russell Roy Whitehead, MSW, LCSW - Clinical Social Worker in Fort Wayne, IN

Russell Roy Whitehead, MSW, LCSW is a Social Worker - Clinical based in Fort Wayne, Indiana. Russell Roy Whitehead is licensed to practice in Indiana (license number 34001909A) and his current practice location is 909 E State Blvd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 481-2700.

NPI number for Russell Roy Whitehead is 1801844659 and his current mailing address is 909 E State Blvd, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801844659.

Contact Information

Russell Roy Whitehead, MSW, LCSW
909 E State Blvd,
Fort Wayne, IN 46805-3404
(260) 481-2700
(260) 481-2717

Map and Direction




Healthcare Provider's Profile

Full NameRussell Roy Whitehead
GenderMale
SpecialitySocial Worker - Clinical
Location909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801844659
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Russell Roy Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801844659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34001909A (Indiana)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. Russell Roy Whitehead 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
Russell Roy Whitehead, MSW, LCSW
909 E State Blvd,
Fort Wayne, IN 46805-3404

Ph: (260) 481-2700
Russell Roy Whitehead, MSW, LCSW
909 E State Blvd,
Fort Wayne, IN 46805-3404

Ph: (260) 481-2700

Reviews and Comments


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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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