Kathryn Russell, LCSW is a
Social Worker - Clinical based in Homewood, Illinois. Kathryn Russell is licensed to practice in Illinois (license number 149.023181) and her current practice location is
900 Ridge Rd, Homewood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 637-1672.
NPI number for Kathryn Russell is 1881265262 and her current mailing address is 900 Ridge Rd Ste 1s, Homewood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881265262.
Healthcare Provider's Profile
Full Name | Kathryn Russell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 900 Ridge Rd, Homewood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881265262
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 08/09/2021
Medical Identifiers
Medical identifiers for Kathryn Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881265262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 33516 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 149.023181 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.023181 (Illinois) | 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. Kathryn 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 |
Kathryn Russell, LCSW 900 Ridge Rd Ste 1s, Homewood, IL 60430-1934 Ph: (708) 637-1672 | Kathryn Russell, LCSW 900 Ridge Rd, Homewood, IL 60430-1933 Ph: (708) 637-1672 |
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