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NATHANAEL WILLIAM RUSSELL LMSW, QMHP
NPI 1093344681
Social Worker - Clinical in Port Huron, MI

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
2837 WALNUT ST, PORT HURON, MI 48060(810) 689-4547 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Feb 28, 2023, Mar 3, 2021 and 1 more (4 updates tracked since 2020).

About Nathanael William Russell Lmsw, Qmhp NPPES

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

NATHANAEL WILLIAM RUSSELL LMSW, QMHP (NPI 1093344681) is an individual clinical provider in Port Huron, Michigan, licensed in Michigan (6801106998) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093344681
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNATHANAEL WILLIAM RUSSELLCredential: LMSW, QMHP
Location Address2837 WALNUT STPort Huron, MI 48060-2162
Mailing Address2837 Walnut StPort Huron, MI 48060-2162 · (810) 858-1759
Phone(810) 689-4547
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1093344681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801106998✔ Licensed in MI · 6801114888
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.
2837 WALNUT ST, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathanael William Russell Lmsw, Qmhp 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 ID1254713886
PECOS Enrollment IDI20220729000473
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

ENLIGHTENED MIND LLC
Social Worker (Clinical)
2837 WALNUT ST
PORT HURON, MI 48060
St. Clair County (810) 689-4547

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 Nathanael Russell's NPI number?

The NPI number for Nathanael Russell is 1093344681. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Nathanael Russell located?

Nathanael Russell practices at 2837 Walnut St, Port Huron, MI 48060. The listed phone number is (810) 689-4547.

What is Nathanael Russell's specialty?

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

Is Nathanael Russell enrolled in Medicare?

Yes. Nathanael 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.

What insurance does Nathanael Russell accept?

Health plans from McLaren Health Plan Community and Priority Health list Nathanael Russell 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 Nathanael Russell was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.