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MRS. MARY BETH RUSSO BLACKWELL LCSW
NPI 1063731263
Social Worker - Clinical in Ormond Beach, FL

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
220 ARLINGTON WAY, ORMOND BEACH, FL 32176(386) 882-7251 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Nov 6, 2024, Aug 15, 2024 (3 updates tracked since 2024).

About Mrs. Mary Beth Russo Blackwell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY BETH RUSSO BLACKWELL LCSW (NPI 1063731263) is an individual clinical provider in Ormond Beach, Florida, licensed in Florida (SW18791) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063731263
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY BETH RUSSO BLACKWELLCredential: LCSW
Location Address220 ARLINGTON WAYOrmond Beach, FL 32176-8164
Mailing Address220 Arlington WayOrmond Beach, FL 32176-8164 · (386) 882-7251
Phone(386) 882-7251
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 27, 2010
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1063731263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW18791
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
220 ARLINGTON WAY, Ormond Beach, FL 32176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Beth Russo Blackwell Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224359203
PECOS Enrollment IDI20221115000356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Beth Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Beth R Blackwell Lcsw LLC
Same address
Clinical
220 ARLINGTON WAY
Ormond Beach, FL 32176
  • Reassigned Medicare billing, Florida enrollment
NPI 1578395950 (386) 882-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BETH R BLACKWELL LCSW LLC
Social Worker (Clinical)
220 ARLINGTON WAY
ORMOND BEACH, FL 32176
Volusia County (386) 882-7251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Beth Blackwell's NPI number?

The NPI number for Mary Beth Blackwell is 1063731263. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Mary Beth Blackwell located?

Mary Beth Blackwell practices at 220 Arlington Way, Ormond Beach, FL 32176. The listed phone number is (386) 882-7251.

What is Mary Beth Blackwell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Beth Blackwell enrolled in Medicare?

Yes. Mary Beth Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Beth Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Beth Blackwell reassigns Medicare benefits to Mary Beth R Blackwell Lcsw LLC (Ormond Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Beth Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Beth Blackwell accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mary Beth Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Beth Blackwell was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.