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

Russell Lynn Vollmer, LCSW

Individual provider Clinical Social Worker · NPI 1962813253

Russell Lynn Vollmer, LCSW is a Clinical Social Worker in Malad City, Idaho. Qualified in 2014, 12 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
12
Licensed in
ID, UT
In the registry since
2014
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

215 E 50 S Ste 5
Malad City, ID 83252-2300
Phone: (208) 766-2365
Fax: (208) 766-2364
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 286822-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 286822-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-36911 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW-28623 (ID)

Record details

NPI number1962813253
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 8, 2014
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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