DOROTHY NICOLE RUSSELL LCSW-C
NPI 1700587029
Social Worker - Clinical in Middletown, DE
NPI Status: Active since March 14, 2023
Contact Information
507 S BROAD ST
MIDDLETOWN, DE
ZIP 19709
Phone: (440) 865-0975
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About DOROTHY RUSSELL
This page provides the complete NPI Profile along with additional information for Dorothy Russell, a provider established in Middletown, Delaware with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1700587029 assigned on March 2023. The practitioner's primary taxonomy code is 1041C0700X with license number Q1-0012164 (DE). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1700587029
- Provider Name
- DOROTHY NICOLE RUSSELL LCSW-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 507 S BROAD ST MIDDLETOWN, DE 19709
- Location Phone
- (440) 865-0975
- Mailing Address
- 507 S BROAD ST MIDDLETOWN, DE 19709
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-14-2023
- Last Update Date
- 07-13-2023
- Code Navigator
A clinical social worker like Dorothy Russell is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Secondary Locations
- 314 Grove Neck Rd
Earleville, MD 21919
(410) 275-6285
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- Q1-0012164
- License State
- DE
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 24640 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Premier Platinum 0 - PPO
- my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Silver 7000 - PPO
- my Blue Access PPO Standard Bronze 7500 - PPO
- my Blue Access PPO Standard Gold 1500 - PPO
- my Blue Access PPO Standard Platinum 0 - PPO
- my Blue Access PPO Standard Silver 5000 - PPO
- my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dorothy Russell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19709 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.19
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $17.79
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 5 | 8 | 7 | 0 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 10 | 8 | 14 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 0 + 8 + 1 + 4 + 0 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1700587029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700587029, enumerated as an "individual" on March 14, 2023.
The provider is located at 507 S BROAD ST MIDDLETOWN, DE 19709 and the phone number is (440) 865-0975.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Aetna CVS Health and Highmark Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
