Amy Jenniver Russell, LCSW
Social Worker, Clinical in Denver, CO. Individual provider (NPI-1).
NPI number1043733199
StatusActive
Last updated in NPPESJul 20, 2017
Details
- NPI
- 1043733199
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Jenniver Russell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2017
- Last updated
- Jul 20, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW.00001626 | CO | Yes |
Practice location
2950 Tennyson StDenver, CO 80212-3029
Phone 303-396-9907
Mailing address
2950 Tennyson StDenver, CO 80212-3029
Phone 303-339-9907
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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