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KATHLEEN RUSSO
NPI 1285112227
Social Worker - Clinical in Dearborn, MI

Active since August 01, 2018PECOS Enrolled
5111 AUTO CLUB DR STE 112, DEARBORN, MI 48126(248) 241-3895 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 26, 2022, Aug 1, 2018 (2 updates tracked since 2018).

About Kathleen Russo NPPES

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

KATHLEEN RUSSO (NPI 1285112227) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6801122386) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285112227
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN RUSSO
Location Address5111 AUTO CLUB DR STE 112Dearborn, MI 48126-2684
Mailing Address5111 Auto Club Dr Ste 112Dearborn, MI 48126-2684 · (248) 241-3895
Phone(248) 241-3895
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1285112227 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 MI · 6801122386
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.
5111 AUTO CLUB DR STE 112, Dearborn, MI 48126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Russo 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 48126 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 11

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

ABDEL BARI KHADER ATTALLAH
Case Manager/Care Coordinator
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (844) 244-1818
HANNAN NASRIN MAO
Social Worker
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (248) 536-5085
MR. WILLIAM STEPHEN POMPOS LMSW
Social Worker (Clinical)
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (313) 317-2000
MS. SABRINA NICOLE BIGGENS MSW
Case Manager/Care Coordinator
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (248) 536-5085
MS. KRISTEN JOHNSON
Case Manager/Care Coordinator
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (248) 536-5085
JAMIE NICOLE WADSWORTH
Case Manager/Care Coordinator
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (248) 536-5085
DR. CINDY MARY DEVASSY M.D.
Psychiatry & Neurology (Psychiatry)
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (313) 317-2000
SHAQUELL FRANKS
Social Worker
5111 AUTO CLUB DR STE 112
DEARBORN, MI 48126
Wayne County (586) 980-5590

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 Kathleen Russo's NPI number?

The NPI number for Kathleen Russo is 1285112227. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Kathleen Russo located?

Kathleen Russo practices at 5111 Auto Club Dr Ste 112, Dearborn, MI 48126. The listed phone number is (248) 241-3895.

What is Kathleen Russo's specialty?

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

Is Kathleen Russo enrolled in Medicare?

Yes. Kathleen Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Russo was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.