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Active NPI 1104261346 Individual Practitioner Female Practitioner

Jackie Lee Russell , LSW, MSW, LMSW

Case Manager/Care Coordinator • Dillingham, AK

Professional Overview & Biography Verified Profile Summary

Jackie Russell, LSW, MSW, LMSW is a registered healthcare professional specializing in Case Manager/Care Coordinator in Dillingham, AK. Practice services are available at 6000 KANAKANAK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6000 Kanakanak Rd

Dillingham, AK 995760130

Telephone 9078425201
Fax 9078429250
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Dillingham, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Dillingham, AK (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OR M5424

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Connie Watkins , FNP APRN BC

Nurse Practitioner - Family

NPI 1013095355

FNPAPRNBC

Dr. Donald Salera , DDS

Dentist - General Practice

NPI 1013215862

Doctor of Dental Surgery

Mark Moyle

Community Health Worker

NPI 1013285279
NPI 1023386273

COMMUNITYHEALTHAID

NPI 1033297205

Doctor of Pharmacy (Pharm.D.)

Melanie Tidwell

Community Health Worker

NPI 1033486147

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2013

Registered at 6000 KANAKANAK RD, DILLINGHAM, AK 995760130 (Tel: 9078425201)

📍
Updated Business Mailing Address May 01, 2013

Registered at PO BOX 130, DILLINGHAM, AK 995760130 (Tel: 9078425201)

👤
Provider Name / Credentials Updated May 01, 2013

Recorded as JACKIE RUSSELL, LSW, MSW, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Case Manager/Care Coordinator (License #M5424 in OR)

🟢
Initial NPI Registration & Enumeration May 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104261346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2013
Last Update: May 01, 2013
Sole Proprietor: No

Mailing Address

Po Box 130

Dillingham, AK 995760130

Phone: 9078425201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.