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

MS. Suzanne Jenkins Russell, LCSWCCM

Individual provider Clinical Social Worker · NPI 1841309838

MS. Suzanne Jenkins Russell, LCSWCCM is a Clinical Social Worker in Coeur D Alene, Idaho. Qualified in 2005, 21 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and New Mexico.

Years since qualifying
21
Licensed in
ID, NM
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (505) 379-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11400 Ranchitos Rd Ne, Albuquerque, NM 87122-2394 — (505) 379-3703

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-42025 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence C-06618 (NM)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 4247900 (NM)

Record details

NPI number1841309838
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWCCM
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Coeur D Alene