JENNIFER RUSSELL
NPI 1497107072
Social Worker - Clinical in Everett, WA

Q: What is Jennifer Russell's NPI number?

The NPI number for Jennifer Russell is 1497107072. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Q: What is Jennifer Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Russell was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 07, 2016PECOS Enrolled

2802 BROADWAY, EVERETT, WA 98201(425) 259-3191 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jennifer Russell NPPES

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

JENNIFER RUSSELL (NPI 1497107072) is an individual clinical provider in Everett, Washington, licensed in Virginia (0904017993) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497107072

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER RUSSELL

Location Address2802 BROADWAYEverett, WA 98201-3642

Mailing Address6242 Pelican Ridge WayLeague City, TX 77573 · (509) 240-3566

Phone(425) 259-3191

Sole ProprietorNo

Enumeration DateJuly 7, 2016

Last NPPES UpdateJune 30, 2025

NPPES CertifiedJune 9, 2025

✔ NPI 1497107072 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 VA · 0904017993

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.

2802 BROADWAY, Everett, WA 98201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Russell 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myspectrum LLC

2,346 mi

Mental Health

707 N COURTHOUSE RD
North Chesterfield, VA 23236

Reassigned Medicare billing, Virginia enrollment
50 clinicians in this Medicare group

NPI 1174029359 (804) 332-5696

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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 $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

KELCEY HILL B.S.

Counselor (Mental Health)