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PAPILLON HEALTH AND WELLNESS LLC
NPI 1639892854
Social Worker - Clinical in Port Saint Lucie, FL

Active since September 22, 2022
643 SW GRANADEER ST, PORT SAINT LUCIE, FL 34983(561) 412-9281 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Papillon Health And Wellness Llc NPPES

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

PAPILLON HEALTH AND WELLNESS LLC (NPI 1639892854) is a healthcare organization registered as a clinical in Port Saint Lucie, Florida and active in the NPI registry since September 2022. The organization lists Bonnie Russo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1639892854
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePAPILLON HEALTH AND WELLNESS LLC
Location Address643 SW GRANADEER STPort Saint Lucie, FL 34983-8772
Mailing Address643 Sw Granadeer StPort Saint Lucie, FL 34983-8772 · (561) 412-9281
Phone(561) 412-9281
Organization SubpartNo
Authorized OfficialBonnie RussoOwner/provider · (561) 412-9281
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1639892854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
643 SW GRANADEER ST, Port Saint Lucie, FL 34983
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Papillon Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Papillon Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bonnie Russo, LCSW, QS
Clinical Social Worker
NPI 1366922288
1729 NW SAINT LUCIE WEST BLVD # 1276
Port Saint Lucie, FL 34986
(561) 412-9281
✔ PECOS✔ Accepts Medicare2.6 mi
Lauren Odell, LMFT
Marriage and Family Therapist
NPI 1497011514
2806 S US HIGHWAY 1 SUITE C-7
Fort Pierce, FL 34982
(772) 467-5550
✔ PECOS✔ Accepts Medicare4.9 mi

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

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 Papillon Health And Wellness LLC's NPI number?

The NPI number for Papillon Health And Wellness LLC is 1639892854. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Papillon Health And Wellness LLC located?

Papillon Health And Wellness LLC is located at 643 SW Granadeer St, Port Saint Lucie, FL 34983. The listed phone number is (561) 412-9281.

What is Papillon Health And Wellness LLC's specialty?

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

Is Papillon Health And Wellness LLC enrolled in Medicare?

Yes. Papillon Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Papillon Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Papillon Health And Wellness LLC, in Clinical Social Worker and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Papillon Health And Wellness LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.