1. Home
  2. Directory
  3. Virginia
  4. Blacksburg
  5. Social Worker
  6. NPI Profile

KELLY O'ROURKE-RUSSELL LCSW
NPI 1093061962
Social Worker - Clinical in Blacksburg, VA

Active since July 30, 2012PECOS EnrolledAccepts Medicare Assignment
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060(540) 961-8459(540) 443-0053 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly O'rourke-russell Lcsw NPPES

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

KELLY O'ROURKE-RUSSELL LCSW (NPI 1093061962) is an individual clinical provider in Blacksburg, Virginia, licensed in Virginia (0904006467) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093061962
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY O'ROURKE-RUSSELLCredential: LCSW
Location Address700 UNIVERSITY CITY BLVDBlacksburg, VA 24060-2706
Mailing Address700 University City BlvdBlacksburg, VA 24060-2706 · (540) 961-8459 · Fax (540) 443-0053
Phone(540) 961-8459
Fax(540) 443-0053
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 30, 2012
✔ NPI 1093061962 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 VA · 0904006467
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.
700 UNIVERSITY CITY BLVD, Blacksburg, VA 24060
Open in Google Maps ↗

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

Kelly O'rourke-russell 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 ID5294982443
PECOS Enrollment IDI20120823000597
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 Kelly O'rourke-russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New River Valley Community Services
Same address
Family Medicine
700 UNIVERSITY CITY BLVD
Blacksburg, VA 24060
  • Reassigned Medicare billing, Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1922633544 (540) 961-8300

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
69 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24060 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 20

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

JOY BADALIS LPC
Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300
SHERRI THERESE SCOTT LCSW
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300
HAILEE STROBEL LPC
Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300
DR. SATISH ANNADATA M.D., M.P.H.
Psychiatry & Neurology (Psychiatry)
700 UNIVERSITY CITY BLVD, MEDICAL SERVICES, NRVCS
BLACKSBURG, VA 24060
Montgomery County (540) 961-8400
JESSICA WINEBARGER
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8414
ERIKA FREEMAN LPC
Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300
SARAH DAVIS LCSW
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300
GAGANDEEP SINGH MD
Psychiatry & Neurology (Psychiatry)
700 UNIVERSITY CITY BLVD, NEW RIVER COMMUNITY SERVICES
BLACKSBURG, VA 24060
Montgomery County (540) 961-8300

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 Kelly O'rourke-russell's NPI number?

The NPI number for Kelly O'rourke-russell is 1093061962. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Kelly O'rourke-russell located?

Kelly O'rourke-russell practices at 700 University City Blvd, Blacksburg, VA 24060. The listed phone number is (540) 961-8459.

What is Kelly O'rourke-russell's specialty?

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

Is Kelly O'rourke-russell enrolled in Medicare?

Yes. Kelly O'rourke-russell 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 Kelly O'rourke-russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'rourke-russell reassigns Medicare benefits to New River Valley Community Services (Blacksburg, VA). 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 Kelly O'rourke-russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly O'rourke-russell was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.