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AMANDA RUSSELL LLMSW
NPI 1952016545
Social Worker - Clinical in Washington, MI

Active since January 18, 2023PECOS Enrolled
60005 CAMPGROUND RD STE 400, WASHINGTON, MI 48094(586) 232-5089 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Russell Llmsw NPPES

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

AMANDA RUSSELL LLMSW (NPI 1952016545) is an individual clinical provider in Washington, Michigan, licensed in Michigan (6851110037) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952016545
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA RUSSELLCredential: LLMSW
Location Address60005 CAMPGROUND RD STE 400Washington, MI 48094-3446
Mailing Address60005 Campground Rd Ste 400Washington, MI 48094-3446 · (586) 232-5089
Phone(586) 232-5089
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1952016545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851110037
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.
60005 CAMPGROUND RD STE 400, Washington, MI 48094
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Russell Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527554799
PECOS Enrollment IDI20251226002076
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 48094 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRYSTAL EVOLA LLMSW
Social Worker (Clinical)
60005 CAMPGROUND RD STE 400
WASHINGTON TOWNSHIP, MI 48094
Macomb County (586) 604-7776
MS. RENEE ROMER LMSW
Social Worker (Clinical)
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (248) 219-1109
MRS. DIANE MARIE VALITUTTI MSW, SSW
Social Worker (Clinical)
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (586) 232-5089
LORI MARIE DUNN
Social Worker (Clinical)
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (586) 232-5089
MIKAYLA SAMY
Counselor (Mental Health)
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (586) 232-5089
DIANE ZAJAC
Social Worker (Clinical)
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (586) 232-5089
ALBANA METAJ
Counselor
60005 CAMPGROUND RD STE 400
WASHINGTON, MI 48094
Macomb County (586) 232-5089

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 Amanda Russell's NPI number?

The NPI number for Amanda Russell is 1952016545. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Amanda Russell located?

Amanda Russell practices at 60005 Campground Rd Ste 400, Washington, MI 48094. The listed phone number is (586) 232-5089.

What is Amanda Russell's specialty?

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

Is Amanda Russell enrolled in Medicare?

Yes. Amanda Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Russell was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.