Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

METKEL B RUSSOM MSW
NPI 1861292849
Social Worker in Reston, VA

Active since March 18, 2025
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191(571) 977-6870(703) 672-7001 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Mar 18, 2025 (2 updates tracked since 2025).

About Metkel B Russom Msw NPPES

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

METKEL B RUSSOM MSW (NPI 1861292849) is an individual social worker in Reston, Virginia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1861292849
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMETKEL B RUSSOMCredential: MSW
Location Address12007 SUNRISE VALLEY DR STE 120Reston, VA 20191-3460
Mailing Address12007 Sunrise Valley Dr Ste 120Reston, VA 20191-3460 · (571) 977-6870 · Fax (703) 672-7001
Fax(703) 672-7001
Sole ProprietorYes
Enumeration DateMarch 18, 2025
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1861292849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
12007 SUNRISE VALLEY DR STE 120, Reston, VA 20191

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.

Counselor (Mental Health)
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Social Worker
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Counselor (Mental Health)
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Social Worker
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Counselor
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Student in an Organized Health Care Education/Training Program
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191
Counselor (Mental Health)
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191

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 Metkel Russom's NPI number?

The NPI number for Metkel Russom is 1861292849. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Metkel Russom located?

Metkel Russom practices at 12007 Sunrise Valley Dr Ste 120, Reston, VA 20191. The listed phone number is (571) 977-6870.

What is Metkel Russom's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Metkel Russom was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.