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MS. LAURA RUSSELL LCSW-C LCADC
NPI 1770118028
Social Worker - Clinical in Pasadena, MD

Active since March 06, 2020Opted out of Medicare · through Oct 5, 2026
8259 BALTIMORE ANNAPOLIS BLVD, PASADENA, MD 21122(410) 630-1064 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Aug 30, 2023, Mar 6, 2020 (3 updates tracked since 2020).

About Ms. Laura Russell Lcsw-c Lcadc NPPES

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

MS. LAURA RUSSELL LCSW-C LCADC (NPI 1770118028) is an individual clinical provider in Pasadena, Maryland, licensed in Maryland (26312) and active in the NPI registry since March 2020. She has opted out of Medicare through October 5, 2026 and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1770118028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LAURA RUSSELLCredential: LCSW-C LCADC
Location Address8259 BALTIMORE ANNAPOLIS BLVDPasadena, MD 21122-1237
Mailing Address134 S Schroeder StBaltimore, MD 21223-2613 · (443) 600-2265
Phone(410) 630-1064
Sole ProprietorNo
Enumeration DateMarch 6, 2020
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1770118028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MD · 26312✔ Licensed in DC · LC200003320
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCA3275 (MD)
8259 BALTIMORE ANNAPOLIS BLVD, Pasadena, MD 21122
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Other Names 1

Former Name (1)Ms. Laura Popp Popp

Secondary Practice Location 1

Location 17793 E Shore RdPasadena, MD 21122-1540 · Phone (443) 600-2265

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Laura Russell Lcsw-c Lcadc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2024 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2024
Opt-Out In Effect ThroughOctober 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Laura Russell's NPI number?

The NPI number for Laura Russell is 1770118028. It was assigned to this individual provider in the NPPES registry on March 6, 2020. The provider is also known as Ms. Laura Popp Popp.

Where is Laura Russell located?

Laura Russell practices at 8259 Baltimore Annapolis Blvd, Pasadena, MD 21122. The listed phone number is (410) 630-1064.

What is Laura Russell's specialty?

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

Is Laura Russell enrolled in Medicare?

No. Laura Russell has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Russell was last updated on May 3, 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.