Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Louise Russell, LCSW

Individual provider Social Worker · NPI 1851841969

Amanda Louise Russell, LCSW is a Clinical Social Worker in Sandpoint, Idaho. Qualified in 2016, 10 years ago. Practices with Fusion Care Group a Psychological Professional Corporation, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1218 N Division Ave Ste 217
Sandpoint, ID 83864-5054
Phone: (208) 610-6459
Fax: (208) 694-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-38205 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW36080 (ID)

Record details

NPI number1851841969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 12, 2016
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fusion Care Group A Psychological Professional Corporation — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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