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KENNEDY M RUSSELL LCSW
NPI 1295411932
Social Worker - Clinical in Prestonsburg, KY

Active since June 27, 2023PECOS Enrolled
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy M Russell Lcsw NPPES

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

KENNEDY M RUSSELL LCSW (NPI 1295411932) is an individual clinical provider in Prestonsburg, Kentucky, licensed in Kentucky (LCSW00001500) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295411932
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENNEDY M RUSSELLCredential: LCSW
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2023
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1295411932 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 KY · LCSW00001500
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.
104 S FRONT AVE, Prestonsburg, KY 41653
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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)

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

PECOS PAC ID2466929211
PECOS Enrollment IDI20260429001848
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 41653 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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 Kennedy Russell's NPI number?

The NPI number for Kennedy Russell is 1295411932. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Kennedy Russell located?

Kennedy Russell practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Kennedy Russell's specialty?

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

Is Kennedy Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kennedy Russell was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.