MR. MARK RUSSELL (NPI# 1477097392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097392 |
| Entity Type | Individual |
| Full Name | MR. MARK RUSSELL |
| Credential | MSW |
| Practice Address |
302 S Spring St Tupelo MS 38804-4853 |
| Practice Telephone | 6628408020 |
| Practice Fax Number | 6628408021 |
| Mailing Telephone | 6628408020 |
| Mailing Fax Number | 6628408021 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1144752221 | Mark Russell | Social Worker | 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 | 2017-03-29 |
| 1154767267 | Mark Stephen Russell Jr. | Counselor | 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 | 2013-05-15 |
| 1437314366 | Mark William Russell | Community Health Worker | 108 Schooner Landing Dr, Edenton, NC 27932-8833 | 2008-07-21 |
| 1306867049 | Mark Duane Russell | Specialist/Technologist | 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 | 2006-07-21 |
| 1639137540 | Mark Russell | Internal Medicine | 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 | 2006-05-02 |
| 1689671315 | Mark Dale Russell | Chiropractor | 5309 44th St, Lubbock, TX 79414-1321 | 2005-07-07 |
| 1154827756 | Mark Russell | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-03 |
| 1033654967 | Mark Russell | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2017-01-02 |
| 1134463870 | Mark Joseph Russell | Occupational Therapist | 275 East Main Street, Frankfort, KY 40621-0001 | 2012-11-19 |
| Street Address |
302 S SPRING ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710168810 | Melissa Ratliff | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2007-11-16 |
| 1235777418 | Aspire Wellness & Family Clinic | Nurse Practitioner | 302 S Spring St, Tupelo, MS 38804-4853 | 2019-12-18 |
| 1346782497 | Ellen Marie Frison | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2016-11-07 |
| 1396104600 | Tiffany Alred Phillips | Counselor | 302 S Spring St, Tupelo, MS 38804-4853 | 2016-02-15 |
| 1831482520 | Nivea M Depriest | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2011-05-27 |
| 1811287428 | Pathways Therapy Center | Psychologist | 302 S Spring St, A/b, Tupelo, MS 38804-4853 | 2011-04-15 |
| 1174852677 | Conscious Healing Therapies, LLC | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750591376 | Tina Ballard | Social Worker | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-23 |
| 1780233353 | Jennifer Thomas | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-09-06 |
| 1538716477 | Ashley Pfahler | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1952884785 | Mary Wynn | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-09-07 |
| 1396224739 | Victoria Darsey | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-08-07 |
| 1548786957 | Andrea Kay Boatman | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-08-17 |
| 1053837484 | Carlie Moon | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-08-17 |
| 1528584950 | Lauren Washington | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-08-17 |
| 1215470059 | Charlotte Mccullar | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2016-11-28 |
| 1861949240 | Ianthony Reiner | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2016-09-02 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.