Mrs Amanda Russell, CSW is a medicare enrolled "Social Worker - Clinical" provider in Slc, Utah. Her current practice location is
1578 W 1700 S, #200, Slc, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 972-2711.
Mrs Amanda Russell is licensed to practice in Utah (license number 5922570-3501) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699730952.
Healthcare Provider's Profile
Full Name | Mrs Amanda Russell |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1578 W 1700 S, Slc, Utah |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Amanda Russell attended and graduated from in
NPI Data:
- NPI Number: 1699730952
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 02/25/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Amanda Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699730952 | NPI | - | NPPES |
788007788049 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 5922570-3502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 5922570-3501 (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. Mrs Amanda Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Russell, CSW 2828 S 1000 E, Slc, UT 84106-2278 Ph: (801) 972-2711 | Mrs Amanda Russell, CSW 1578 W 1700 S, #200, Slc, UT 84104-3470 Ph: (801) 972-2711 |
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