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

Kennedy M Russell, LCSW

Individual provider Clinical Social Worker · NPI 1295411932

Kennedy M Russell, LCSW is a Clinical Social Worker in Prestonsburg, Kentucky. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
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

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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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 LCSW00001500 (KY)

Record details

NPI number1295411932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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