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

MS. Jaizane Alexis Russell

Individual provider Social Worker · NPI 1982189247

MS. Jaizane Alexis Russell is a Clinical Social Worker in Dayton, Ohio. Qualified in 2019, 7 years ago. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1 Elizabeth Pl
Dayton, OH 45417-3445
Phone: (937) 234-0121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-2405497 (OH)
Social Worker Taxonomy 104100000X · Licence S.1903283 (OH)

Record details

NPI number1982189247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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