SARAH LYNN RUSSELL BSW, LMSW - NPI 1992342398 - Social Worker in Idaho Falls, ID

Q: What is Sarah Russell's NPI number?

The NPI number for Sarah Russell is 1992342398. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Q: What is Sarah Russell's specialty?

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

Q: Is Sarah Russell enrolled in Medicare?

No. Sarah Russell has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sarah Russell was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Sarah Lynn Russell Bsw, Lmsw NPPES

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

SARAH LYNN RUSSELL BSW, LMSW (NPI 1992342398) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW38260) and active in the NPI registry since December 2019. She has opted out of Medicare through October 15, 2027.

NPPES Registry Identity

NPI1992342398

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSARAH LYNN RUSSELLCredential: BSW, LMSW

Location Address550 W SUNNYSIDE RD STE 1Idaho Falls, ID 83402-4642

Mailing Address4383 W 49th SIdaho Falls, ID 83402-5726 · (208) 520-6823

Phone(208) 529-5777

Fax(208) 529-5778

Sole ProprietorYes

Enumeration DateDecember 4, 2019

✔ NPI 1992342398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · LMSW38260

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.

550 W SUNNYSIDE RD STE 1, Idaho Falls, ID 83402

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sarah Lynn Russell Bsw, Lmsw 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 15, 2025 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2025

Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

CREEKSIDE COUNSELING

Counselor (Mental Health)