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

Mr. Jesse Richards Russell, LCSW

Individual provider Clinical Social Worker · NPI 1235319880

Mr. Jesse Richards Russell, LCSW is a Clinical Social Worker in Freeport, Maine. Qualified in 1994, 32 years ago. Practices with Health Affiliates Maine, LLC, a 174-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
32
Licensed in
ME
In the registry since
2007
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

106 Maquoit Dr
Freeport, ME 04032-6320
Phone: (207) 671-5598
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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 LC 5397 (ME)

Record details

NPI number1235319880
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 13, 2007
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Health Affiliates Maine, Llc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Freeport