ABIGAIL RUSSELL LCSW
NPI 1396473955
Social Worker - Clinical in Green Bay, WI

Active since August 11, 2022PECOS Enrolled
480 PILGRIM WAY # 1300-A, GREEN BAY, WI 54304(920) 610-5119(920) 610-5120 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Nov 10, 2022, Aug 11, 2022 (3 updates tracked since 2022).

About Abigail Russell Lcsw NPPES

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

ABIGAIL RUSSELL LCSW (NPI 1396473955) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (132852-121) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396473955
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameABIGAIL RUSSELLCredential: LCSW
Location Address480 PILGRIM WAY # 1300-AGreen Bay, WI 54304-5280
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Fax(920) 610-5120
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 11, 2022
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1396473955 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 WI · 132852-121
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.
480 PILGRIM WAY # 1300-A, Green Bay, WI 54304

Accepted 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)

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

PECOS PAC ID3971942947
PECOS Enrollment IDI20240424000363
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 54304 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Nurse Practitioner (Psychiatric/Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Nurse Practitioner (Psychiatric/Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Counselor (Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304

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 Abigail Russell's NPI number?

The NPI number for Abigail Russell is 1396473955. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Abigail Russell located?

Abigail Russell practices at 480 Pilgrim Way # 1300-A, Green Bay, WI 54304. The listed phone number is (920) 610-5119.

What is Abigail Russell's specialty?

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

Is Abigail Russell enrolled in Medicare?

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

What insurance does Abigail Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Abigail 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 Abigail Russell was last updated on April 22, 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.