Individual provider · Type 1 NPI

Suzanne Jenkins Russell, LCSW CCM

Clinical Social Worker · Coeur D Alene, ID

NPI number 1841309838 Active

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Call (505) 379-3703 Map

Mailing address

11400 Ranchitos Rd NE
Albuquerque, NM 87122-2394

Other practice locations

  • 11400 Ranchitos Rd NE, Albuquerque, NM 87122-2394 · (505) 379-3703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC-06618 (NM)
Case Manager/Care Coordinator 171M00000X4247900 (NM)
Clinical Social Worker Primary 1041C0700XLCSW-42025 (ID)

Clinical Social Worker: 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 interpers…

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About NPI 1841309838

Suzanne Jenkins Russell, LCSW CCM's National Provider Identifier is 1841309838, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 22, 2025.