Kalia Russell, is a
Social Worker based in Cleveland, Ohio. Kalia Russell is licensed to practice in Ohio (license number S.2309607) and her current practice location is
22001 Fairmount Blvd, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(800) 879-2522.
NPI number for Kalia Russell is 1578242152 and her current mailing address is 22001 Fairmount Blvd, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578242152.
Healthcare Provider's Profile
| Full Name | Kalia Russell |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 22001 Fairmount Blvd, Cleveland, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578242152
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 10/20/2023
Medical Identifiers
Medical identifiers for Kalia Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578242152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.186124 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | S.2309607 (Ohio) | 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. Kalia 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 |
|---|
Kalia Russell,
22001 Fairmount Blvd,
Cleveland, OH 44118-4897
Ph: (800) 879-2522 | Kalia Russell,
22001 Fairmount Blvd,
Cleveland, OH 44118-4897
Ph: (800) 879-2522 |
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