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

Individual provider Clinical Social Worker · NPI 1952016545

Amanda Russell, LLMSW is a Clinical Social Worker in Washington, Michigan. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

60005 Campground Rd Ste 400
Washington, MI 48094-3446
Phone: (586) 232-5089
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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 6851110037 (MI)

Record details

NPI number1952016545
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing address60005 Campground Rd Ste 400, Washington, MI 48094-3446

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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