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JACKIE LEE RUSSELL LSW, MSW, LMSW
NPI 1104261346
Case Manager/Care Coordinator in Dillingham, AK

Active since May 01, 2013
6000 KANAKANAK RD, DILLINGHAM, AK 99576(907) 842-5201(907) 842-9250 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Lee Russell Lsw, Msw, Lmsw NPPES

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

JACKIE LEE RUSSELL LSW, MSW, LMSW (NPI 1104261346) is an individual case manager/care coordinator provider in Dillingham, Alaska, licensed in Oregon (M5424) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1104261346
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJACKIE LEE RUSSELLCredential: LSW, MSW, LMSW
Location Address6000 KANAKANAK RDDillingham, AK 99576-0130
Mailing AddressPo Box 130Dillingham, AK 99576-0130 · (907) 842-5201 · Fax (907) 842-9250
Phone(907) 842-5201
Fax(907) 842-9250
Sole ProprietorNo
Enumeration DateMay 1, 2013
✔ NPI 1104261346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in OR · M5424
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
6000 KANAKANAK RD, Dillingham, AK 99576
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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.

DR. DONALD ANTHONY SALERA DDS
Dentist (General Practice)
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-5201
MARK CHESTER MOYLE
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-5201
MELANIE ROSE TIDWELL
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-5201
OLAF O'DOMIN
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-9217
HERMAN GEFFE
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-9217
EVA OLIN SENSMEIER PAC
Physician Assistant
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-5201
MELISSA BOLT
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-9217
SHERI LYNN THOMAS CHP
Community Health Worker
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Dillingham (907) 842-5201

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 Jackie Russell's NPI number?

The NPI number for Jackie Russell is 1104261346. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Jackie Russell located?

Jackie Russell practices at 6000 Kanakanak Rd, Dillingham, AK 99576. The listed phone number is (907) 842-5201.

What is Jackie Russell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jackie Russell was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.