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MR. JESSE RICHARDS RUSSELL L.C.S.W.
NPI 1235319880
Social Worker - Clinical in Freeport, ME

Active since November 13, 2007PECOS EnrolledAccepts Medicare Assignment
106 MAQUOIT DR, FREEPORT, ME 04032(207) 671-5598 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jesse Richards Russell L.c.s.w. NPPES

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

MR. JESSE RICHARDS RUSSELL L.C.S.W. (NPI 1235319880) is an individual clinical provider in Freeport, Maine, licensed in Maine (LC 5397) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1235319880
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JESSE RICHARDS RUSSELLCredential: L.C.S.W.
Location Address106 MAQUOIT DRFreeport, ME 04032-6320
Mailing AddressPo Box 597Freeport, ME 04032-0597 · (207) 671-5598
Phone(207) 671-5598
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 13, 2007
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1235319880 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 ME · LC 5397
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.
106 MAQUOIT DR, Freeport, ME 04032
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Other Identifiers 1

Medicaid285810099ME

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

Mr. Jesse Richards Russell L.c.s.w. 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 ID4789626516
PECOS Enrollment IDI20050627000942
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 04032 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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 Jesse Russell's NPI number?

The NPI number for Jesse Russell is 1235319880. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Jesse Russell located?

Jesse Russell practices at 106 Maquoit Dr, Freeport, ME 04032. The listed phone number is (207) 671-5598.

What is Jesse Russell's specialty?

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

Is Jesse Russell enrolled in Medicare?

Yes. Jesse 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.

When was this NPI record last updated?

The NPPES record for Jesse Russell was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.