Amanda Russell, CSW
NPI 1699730952ActiveIndividual· Social Worker, Clinical· Slc, UT
Social Worker, Clinical (CSW) in Slc, Utah, trained at University of Utah School of Medicine (class of 2005). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1699730952 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW |
| Sole proprietor | No |
| NPI issued | Apr 19, 2006 |
| Last updated in NPPES | Feb 25, 2022 |
| Certified by provider | Feb 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5922570-3501 | UT |
| Counselor, Mental Health | 101YM0800X | 5922570-3502 | UT |
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 (UT) |
|---|
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- University of Utah Behavioral Health ServicesSalt Lake City, UT · 187 clinicians
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All 55 clinical social workers in Slc · All clinical social workers in Utah