JACQUELINE A RUSSELL LMSW
NPI 1871003343
Social Worker - Clinical in New Haven, CT

Q: What is Jacqueline Russell's NPI number?

The NPI number for Jacqueline Russell is 1871003343. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Q: What is Jacqueline Russell's specialty?

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

Active since October 10, 2017PECOS Enrolled

54 E RAMSDELL ST, NEW HAVEN, CT 06515(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2020, Jul 16, 2020, Oct 10, 2017 (3 updates tracked since 2017).

On this page

About Jacqueline A Russell Lmsw NPPES

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

JACQUELINE A RUSSELL LMSW (NPI 1871003343) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (11082) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871003343

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE A RUSSELLCredential: LMSW

Location Address54 E RAMSDELL STNew Haven, CT 06515-1140

Mailing Address1 Long Wharf Dr Ste 321New Haven, CT 06511-5946 · (203) 781-4600 · Fax (203) 781-4624

Phone(203) 781-4600

Fax(203) 781-4624

Sole ProprietorYes

Enumeration DateOctober 10, 2017

Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1871003343 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

License✔ Licensed in CT · 11082

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 ListedSocial WorkerTaxonomy 104100000X · License 3616 (CT)

54 E RAMSDELL ST, New Haven, CT 06515

Open in Google Maps ↗

Other Identifiers 6

Medicaid008096553CT

Medicaid008024427CT

Other3616CT · State Of Ct Dph

Medicaid008023170CT

Medicaid008039745CT

Medicaid008042339CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline A Russell Lmsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 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 $60.82 – $183.10

Typical copayment $0.00 (range $15.20 – $45.77)

Most-billed visit code NA

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

LINDSAY FALLON MCLEAN LCSW

Social Worker (Clinical)