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

Mrs. Monique Russell

Individual provider Clinical Social Worker · NPI 1437650025

Mrs. Monique Russell is a Clinical Social Worker in Capitol Heights, Maryland. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Georgia, Minnesota and New York.

Years since qualifying
6
Licensed in
GA, MN, NY
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

505 Hampton Park Blvd Ste Q
Capitol Heights, MD 20743-3862
Phone: (585) 333-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5240 Merrick Rd, Massapequa, NY 11758-6207 — (516) 590-7335

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 099073 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW009661 (GA)
Social Worker Taxonomy 104100000X · Licence 109638
Case Manager/Care Coordinator Taxonomy 171M00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 29801 (MN)

Record details

NPI number1437650025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Capitol Heights