Active NPIIndividual providerSole proprietor

Mrs. Kaileen Russell, LICSW

Social Worker, Clinical in East Longmeadow, Massachusetts

NPI Number1073860847
Practice location
264 N Main St Ste 14, East Longmeadow, MA 01028-1837
Fax
—
Last updated
July 3, 2024

Kaileen Russell is a Social Worker, Clinical based in East Longmeadow, MA. Kaileen Russell practices in East Longmeadow, MA and has the professional credentials of LICSW. The NPI Number for Kaileen Russell is 1073860847. The current practice location address for Kaileen Russell is 264 N Main St Ste 14, East Longmeadow, MA 01028-1837 and can be reached out via phone at 413-564-1407.

Provider Profile Details

NPI Number
1073860847
Provider Name
Kaileen Russell
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
264 N Main St Ste 14, East Longmeadow, MA 01028-1837
Phone Number
413-564-1407
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Miss Kaileen Eggleston, LCSW (Former Name)
Provider Enumeration Date
August 10, 2012
Last Update Date
July 3, 2024
Certification Date
July 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 N Main St Ste 14
East Longmeadow, MA 01028-1837
Zip
01028-1837
Phone Number
413-564-1407
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
41 Ruggles St
Three Rivers, MA 01080-1143
City
Three Rivers
State
MA
Zip
01080-1143
Phone Number
413-427-6676

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kaileen Russell, LICSW?

The NPI number of Mrs. Kaileen Russell, LICSW is 1073860847. It was assigned on August 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kaileen Russell, LICSW?

Mrs. Kaileen Russell, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mrs. Kaileen Russell, LICSW practice?

The practice location is 264 N Main St Ste 14, East Longmeadow, MA 01028-1837. The office can be reached at 413-564-1407 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073860847 directly on the NPPES registry website.

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