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KELLY GRAVINO RUSSELL LICSW
NPI 1336244763
Social Worker - Clinical in Ipswich, MA

Active since September 13, 2006PECOS Enrolled
16 BUSH HILL RD, IPSWICH, MA 01938(978) 810-8397 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Gravino Russell Licsw NPPES

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

KELLY GRAVINO RUSSELL LICSW (NPI 1336244763) is an individual clinical provider in Ipswich, Massachusetts, licensed in Massachusetts (110340) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336244763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY GRAVINO RUSSELLCredential: LICSW
Location Address16 BUSH HILL RDIpswich, MA 01938-1642
Mailing Address16 Bush Hill RdIpswich, MA 01938-1642 · (978) 810-8397
Phone(978) 810-8397
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1336244763 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 MA · 110340
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.
16 BUSH HILL RD, Ipswich, MA 01938
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Gravino Russell Licsw 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 01938 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

MR. RICHARD SCOTT RUSSELL LICSW
Social Worker (Clinical)
16 BUSH HILL RD
IPSWICH, MA 01938
Essex County (978) 265-4915

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 Kelly Russell's NPI number?

The NPI number for Kelly Russell is 1336244763. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kelly Russell located?

Kelly Russell practices at 16 Bush Hill Rd, Ipswich, MA 01938. The listed phone number is (978) 810-8397.

What is Kelly Russell's specialty?

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

Is Kelly Russell enrolled in Medicare?

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

What insurance does Kelly Russell accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kelly Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Russell was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.