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JACQUELINE RUSSELL
NPI 1194267419
Social Worker - Clinical in Alamogordo, NM

Active since November 17, 2016PECOS Enrolled
1301 OREGON AVE, ALAMOGORDO, NM 88310(575) 443-6166(575) 437-0755 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Apr 15, 2020, Nov 17, 2016 (3 updates tracked since 2016).

About Jacqueline Russell NPPES

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

JACQUELINE RUSSELL (NPI 1194267419) is an individual clinical provider in Alamogordo, New Mexico, licensed in New Mexico (C-11118) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Alamogordo.

NPPES Registry Identity

NPI1194267419
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE RUSSELL
Location Address1301 OREGON AVEAlamogordo, NM 88310-5710
Mailing AddressPo Box 553Hi Rls Mtn Pk, NM 88325-0553 · (575) 443-6166 · Fax (575) 437-0755
Phone(575) 443-6166
Fax(575) 437-0755
Sole ProprietorNo
Enumeration DateNovember 17, 2016
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1194267419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · C-11118
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.
Also ListedSocial WorkerTaxonomy 104100000X · License S1601116 (OH)
1301 OREGON AVE, Alamogordo, NM 88310
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Other Names 1

Former Name (1)Jacqueline R Mason Lcsw

Secondary Practice Location 1

Location 11909 Cuba Ave Ste 1Alamogordo, NM 88310-5646 · Phone (575) 404-1593

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Russell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 88310 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 4

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

BLUE SKY COUNSELING ASSOCIATES
Counselor (Professional)
1301 OREGON AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-9802
RICK GILSDORF, LPCC, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1301 OREGON AVE
ALAMOGORDO, NM 88310
Otero County (575) 446-2625
RICHARD PAUL GILSDORF LPCC
Counselor (Professional)
1301 OREGON AVE
ALAMOGORDO, NM 88310
Otero County (575) 443-6166
LYNN ELLEN KIMBALL MA, LPCC
Counselor
1301 OREGON AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-2789

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 Jacqueline Russell's NPI number?

The NPI number for Jacqueline Russell is 1194267419. It was assigned to this individual provider in the NPPES registry on November 17, 2016. The provider is also known as Jacqueline R Mason Lcsw.

Where is Jacqueline Russell located?

Jacqueline Russell practices at 1301 Oregon Ave, Alamogordo, NM 88310. The listed phone number is (575) 443-6166.

What is Jacqueline Russell's specialty?

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

Is Jacqueline Russell enrolled in Medicare?

Yes. Jacqueline Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Russell was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.