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

MS. Susan Marie Russell, LISW-S

Individual provider Clinical Social Worker · NPI 1235348137

MS. Susan Marie Russell, LISW-S is a Clinical Social Worker in Medina, Ohio. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2007
Specialties on file
2

Practice location Address checks out

217 W Homestead St
Medina, OH 44256-3129
Phone: (330) 840-9385
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 I0700087 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 011327 (OH)

Record details

NPI number1235348137
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medina