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MISS ANDREA MARIE RUSSELL LCSW-C
NPI 1467615575
Social Worker - Clinical in Leonardtown, MD

Active since July 08, 2008PECOS Enrolled
23140 MOAKLEY ST STE 623140, LEONARDTOWN, MD 20650(301) 690-8404 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, May 16, 2016 (2 updates tracked since 2016).

About Miss Andrea Marie Russell Lcsw-c NPPES

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

MISS ANDREA MARIE RUSSELL LCSW-C (NPI 1467615575) is an individual clinical provider in Leonardtown, Maryland, licensed in Kansas (7100) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington Park.

NPPES Registry Identity

NPI1467615575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS ANDREA MARIE RUSSELLCredential: LCSW-C
Location Address23140 MOAKLEY ST STE 623140Leonardtown, MD 20650-2930
Mailing Address23247 White Birch Ct Apt 127California, MD 20619-6056 · (785) 207-5529
Phone(301) 690-8404
Sole ProprietorNo
Enumeration DateJuly 8, 2008
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1467615575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KS · 7100✔ Licensed in MD · 15720
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.
23140 MOAKLEY ST STE 623140, Leonardtown, MD 20650
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Secondary Practice Location 1

Location 121770 FDR BlvdLexington Park, MD 20653-4080 · Phone (301) 997-1300 ext. 835

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Andrea Marie Russell Lcsw-c 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 20650 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 Andrea Russell's NPI number?

The NPI number for Andrea Russell is 1467615575. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Andrea Russell located?

Andrea Russell practices at 23140 Moakley St Ste 623140, Leonardtown, MD 20650. The listed phone number is (301) 690-8404.

What is Andrea Russell's specialty?

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

Is Andrea Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea Russell was last updated on October 9, 2023. 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.