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Active NPI 1427414911 Individual Practitioner Male Practitioner

Dylan Russell , MSW

Social Worker - Clinical • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dylan Russell, MSW is a registered healthcare professional specializing in Social Worker - Clinical in Walla Walla, WA. Practice services are available at 1520 KELLY PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1520 Kelly Pl

Walla Walla, WA 993628607

Telephone 5095754084
Associated Practice Facility / Clinic
🏢 Comprehensive Healthcare Facility NPI 1285064428

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
108 Specialists

Practicing in Walla Walla, WA (6524 Statewide)

Telehealth Adoption Rate
3.7% 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: 2023-10-20
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111524501 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003156183
Allison Langston

Nurse's Aide

NPI 1003337379
Natalia Ramos

Case Manager/Care Coordinator

NPI 1003543554
Alenka Terzic

Registered Nurse - Psychiatric/Mental Health

NPI 1003575325
Nicole Tatum

Social Worker - Clinical

NPI 1003581778
Ferris Charlet

Case Manager/Care Coordinator

NPI 1003624974

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 20, 2023

Registered at 1520 KELLY PL, WALLA WALLA, WA 993628607 (Tel: 5095754084)

📍
Updated Business Mailing Address October 20, 2023

Registered at PO BOX 959, YAKIMA, WA 989070959 (Tel: 5095754084)

👤
Provider Name / Credentials Updated October 20, 2023

Recorded as DYLAN RUSSELL, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2023

Social Worker

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2016

Registered at 15445 53RD AVE S, SUITE 110, TUKWILA, WA 981882326 (Tel: 2063138840)

📍
Updated Business Mailing Address January 13, 2016

Registered at 15445 53RD AVE S, SUITE 110, TUKWILA, WA 981882326

👤
Provider Name / Credentials Updated January 13, 2016

Recorded as DYLAN RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration January 13, 2016

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: 1427414911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2016
Last Update: October 20, 2023
Sole Proprietor: No

Mailing Address

Po Box 959

Yakima, WA 989070959

Phone: 5095754084

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.