RUSSELL ELLIOTT (NPI# 1942861547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942861547 |
| Entity Type | Individual |
| Full Name | RUSSELL ELLIOTT |
| Credential | LCSW |
| Practice Address |
18051 Fm 2015 Tyler TX 75706-3130 |
| Practice Telephone | 3084308087 |
| Mailing Telephone | 3084302584 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60332 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18051 Fm 2015, Tyler, TX 757063130 | 3084302584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013034610 | Russell Laverne Elliott | Chiropractor | 125 Barb Blvd, Dekalb, IL 60115-4632 | 2007-03-26 |
| 1588642276 | Russell Price Elliott | Optometrist | 125 E Washington St, Greencastle, IN 46135-1511 | 2006-01-04 |
| 1649663295 | Russell Elliott | Registered Nurse | 4301 Garth Rd # 306400, Baytown, TX 77521-3153 | 2015-03-06 |
| Street Address |
18051 FM 2015 |
| City | TYLER |
| State | TX |
| Zip Code | 75706-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729621 | Hayden Lee Heath Jr. | Behavioral Analyst | 14864 Harvey Road, Tyler, TX 75706 | 2020-04-22 |
| 1801210505 | Lone Star Day Program | Clinic/Center | 14864 County Road 433, Tyler, TX 75706 | 2014-02-17 |
| 1871611921 | James F. Crenshaw | Chiropractor | 13325 Hwy 69 N, Tyler, TX 75706 | 2007-03-27 |
| 1306986450 | Barbara M Pinson | Preventive Medicine | 11721 U S Highway 69 North, Tyler, TX 75706 | 2007-02-07 |
| 1588169619 | Cheyenne Brittany Barrington | Assistant Behavior Analyst | 14864 County Road 433, Tyler, TX 75706-3206 | 2018-03-29 |
| 1073087854 | Kinsey Renay Arnold | Registered Nurse | 12225 County Road 41, Tyler, TX 75706-3315 | 2019-01-15 |
| 1669820130 | Mikayla Ashlyn Moore | Specialist/Technologist | 14701 Copper Ridge Blvd, Tyler, TX 75706-3364 | 2016-05-25 |
| 1912126772 | Thurman Clifford Erwin Jr. | Dentist | 14824 County Road 35, Tyler, TX 75706-3435 | 2007-04-24 |
| 1821441122 | Adam Grer | Specialist/Technologist | 13019 County Road 412, Tyler, TX 75706-4027 | 2016-07-21 |
| 1396041885 | Lisa Jill Vandiemen | Nurse Practitioner | 12197 Cross Fence Trl, Tyler, TX 75706-4241 | 2011-02-01 |
| Find all providers in zip 75706 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765074 | Nelida Medina Serrano | Social Worker | 10845 County Road 429, Tyler, TX 75704-3813 | 2018-06-27 |
| 1407348030 | Jocelyn Christine Sipes | Social Worker | 1800 Shiloh Rd Ste 101, Tyler, TX 75703-2456 | 2018-05-30 |
| 1104293760 | Kristi Ann Lemmert | Social Worker | 18118 County Road 4202, Tyler, TX 75704-2424 | 2015-08-28 |
| 1831514272 | Erin Young | Social Worker | 3800 Paluxy Dr Ste 240, Tyler, TX 75703-1667 | 2014-02-21 |
| 1366744591 | Andrea Aguero Cox | Social Worker | 4113 Birdwell Dr, Tyler, TX 75703-1606 | 2010-11-19 |
| 1053551341 | Jana Meagher Sisk | Social Worker | 1121 Ese Loop323, Suite 204, Tyler, TX 75701-9660 | 2009-02-25 |
| 1306978135 | Fonda Gail Latham | Social Worker | 1305 S Baxter Ave, Tyler, TX 75701-3404 | 2007-03-09 |
| 1659401107 | Rick D Douglas | Social Worker | 4411 Kinsey Dr, Apt. 905, Tyler, TX 75703-1015 | 2007-03-06 |
| 1245387539 | Christi Lynn Lloyd | Social Worker | 3600 Old Bullard Rd Ste 102e, Tyler, TX 75701-8657 | 2007-01-05 |
| 1548221906 | Rachel Elizabeth Cox | Social Worker | 3800 Paluxy Dr Ste 431, Tyler, TX 75703-1659 | 2006-03-28 |
| Find all providers in TYLER | ||||
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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.