Jessica Nicole Jack Russell, LISW
NPI 1184776692ActiveIndividual· Social Worker, Clinical· Warren, OH
Social Worker, Clinical (LISW) in Warren, Ohio, trained at University of Pittsburgh School of Medicine (class of 2007). Medicare paid $18,038 for services to 15 patients in 2024.
Overview
| NPI | 1184776692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Jan 17, 2007 |
| Last updated in NPPES | Nov 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.1901879 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 226 across 4 procedure codes |
| Paid by Medicare | $18,038 |
Education and affiliations
| Medical school | University of Pittsburgh School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Rajendra P Koirala, M.D., LLCBoardman, OH · 23 clinicians
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