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

Shelly Dawn Russell, LCDCIII162408

Individual provider Case Manager/Care Coordinator · NPI 1679055719

Shelly Dawn Russell, LCDCIII162408 is a Case Manager/Care Coordinator in Coal Grove, Ohio. Practices as a sole proprietor. Licensed in Ohio.

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

Practice location Address checks out

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.162408 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1679055719
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII162408
Sole proprietorYes
NPI enumeratedSeptember 5, 2018
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

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