Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly O'Rourke-Russell, LCSW

Individual provider Clinical Social Worker · NPI 1093061962

Kelly O'Rourke-Russell, LCSW is a Clinical Social Worker in Blacksburg, Virginia. Qualified in 2002, 24 years ago. Practices with New River Valley Community Services, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2012
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

700 University City Blvd
Blacksburg, VA 24060-2706
Phone: (540) 961-8459
Fax: (540) 443-0053
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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 0904006467 (VA)

Record details

NPI number1093061962
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 30, 2012
Last updated in NPPESJuly 30, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice New River Valley Community Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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