Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750147732 Individual Practitioner Female Practitioner

Simone Russell

Social Worker - Clinical • Provo, UT

Professional Overview & Biography Verified Profile Summary

Simone Russell is a registered healthcare professional specializing in Social Worker - Clinical in Provo, UT. Practice services are available at 4626 N 300 W STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4626 N 300 W Ste 150

Provo, UT 846046077

Telephone 8014074134
Fax 8018770864
Associated Practice Facility / Clinic
🏢 Sela Health, Pllc Facility NPI 1497183024

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
453 Specialists

Practicing in Provo, UT (5603 Statewide)

Telehealth Adoption Rate
2.9% 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

CMS Verified: 2024-02-26
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 12933011-3502

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

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

37 Associated Practitioners
Nia Fowler-Galloway , LMFT

Marriage & Family Therapist

NPI 1023609070

Licensed Marriage and Family Therapist

Jonathan Ingalls

Social Worker - Clinical

NPI 1023806114
Dawn Madden

Counselor - Mental Health

NPI 1083358543
Jon Worlton , LCSW

Social Worker - Clinical

NPI 1104132372

Licensed Clinical Social Worker

Taber Gibbons , MSW

Social Worker - Clinical

NPI 1144671546

Master of Social Work

Toni Deveraux , LCSW

Social Worker - Clinical

NPI 1184230518

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2024

Registered at 4626 N 300 W STE 150, PROVO, UT 846046077 (Tel: 8014074134)

📍
Updated Business Mailing Address February 26, 2024

Registered at PO BOX 50207, PROVO, UT 846050207 (Tel: 8014074134)

👤
Provider Name / Credentials Updated February 26, 2024

Recorded as SIMONE RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2024

Social Worker (License #12933011-3502 in UT)

🟢
Initial NPI Registration & Enumeration February 26, 2024

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: 1750147732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2024
Last Update: February 26, 2024
Sole Proprietor: No

Mailing Address

Po Box 50207

Provo, UT 846050207

Phone: 8014074134

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.