MS. ANN CAROL RUSSELL (NPI# 1689845620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689845620 |
| Entity Type | Individual |
| Full Name | MS. ANN CAROL RUSSELL |
| Credential | LCSW |
| Practice Address |
819 Bloomington Rd Champaign IL 61820-2101 |
| Mailing Address |
2905 North Main Street Decatur IL 62526 |
| Practice Telephone | 2173561558 |
| Practice Fax Number | 2173660160 |
| Mailing Telephone | 2178779117 |
| Mailing Fax Number | 2178773077 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659153 | Ann Marie Russell | Lactation Consultant, Non-RN | 12621 Hedgetree Ct, Poway, CA 92064-6432 | 2007-05-17 |
| 1972696631 | Ann M . Russell | Midwife | 916 Pacific Ave 2nd Floor, Everett, WA 98201 | 2006-10-02 |
| 1881719805 | Ann J Russell | Physician Assistant | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-20 |
| 1285701243 | Ann B Russell | Pediatrics | 11602 W Center Rd, Suite 150, Omaha, NE 68144-4440 | 2006-11-28 |
| 1619944345 | Ann Russell | Counselor | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2006-03-01 |
| Street Address |
819 BLOOMINGTON RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770192 | Community Health Improvement Center | Clinic/Center | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2006-02-21 |
| 1376166264 | Carlos Rodolfo Bocanegra Cordova | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-05-26 |
| 1992324941 | Ryan Jordan Minier | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-04-10 |
| 1972136620 | Doug C Smith | Social Worker | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-02-20 |
| 1316592637 | Carrie Elizabeth Keenan | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2019-08-04 |
| 1093283954 | River Andres | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-11-08 |
| 1992290449 | Kaitlyn Cornell | Social Worker | 819 Bloomington Rd, Champaign, IL 61820 | 2018-06-27 |
| 1255833695 | Marisol Chirinos Tito | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-03-01 |
| 1841713450 | Shellane Marie Tangen | Nurse Practitioner | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2017-07-25 |
| 1215387501 | John S Anderson | Dentist | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1609427269 | Willow Counseling LLC | Social Worker | 1415 Cobblestone Way, Champaign, IL 61822-2068 | 2019-09-25 |
| 1003395831 | Kevin Joseph Elliott | Social Worker | 1807 S Neil St, Champaign, IL 61820-7215 | 2018-08-13 |
| 1033570437 | Rani Brandon | Social Worker | 401 Springfield, Champaign, IL 61820-1911 | 2016-03-11 |
| 1497156954 | Tearra Mcdade | Social Worker | 905 Berwick Dr, 2, Champaign, IL 61822-1885 | 2014-09-15 |
| 1932531084 | Rochelle Spies | Social Worker | 1216 W John St, Champaign, IL 61821-3804 | 2013-07-31 |
| 1881037513 | Kelly Marie Mcnellis | Social Worker | 703 W Church St, Apt H, Champaign, IL 61820-3352 | 2013-04-11 |
| 1073856159 | Alicia Lorine Williams | Social Worker | 202 West Park St, Champaign, IL 61820-3723 | 2013-03-27 |
| 1750623302 | Sharnice Denine Jones | Social Worker | 21 Thatcham Dr Apt 12, Champaign, IL 61820-2380 | 2013-03-21 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1912215252 | Candace Logan | Social Worker | 311 W White St, Champaign, IL 61820-4805 | 2010-09-21 |
| Find all providers in CHAMPAIGN | ||||
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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.