JOHN RUSSUM (LCSW) – Clinical Social Worker, NPI 1407961022
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
299 CLINICAL SOCIAL WORKER in DE
Provider Addresses for JOHN RUSSUM (LCSW)
21 W Clarke Ave Ste 1001
Milford, DE 199631849
Phone: (302) 855-1233
Type: Location
300 High St
Seaford, DE 199733940
Phone: (302) 855-1233
Type: Location
725 Horsepond Rd
Dover, DE 199017232
Phone: (302) 744-7688
Fax: (302) 735-3856
Type: Location
21444 CARMEAN WAY
GEORGETOWN, DE 199474572
Phone: (302) 855-1233
Type: Location
725, Horsepond Road, Laffertys Corner, Dover, Kent County, Delaware, 19901, United States
DOVER, DE 199017232
Phone: (302) 744-7688
Fax: (302) 735-3856
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070215000298 | I | Clinical Social Worker | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19963)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor, Undefined Non Physician Type (Specify) | DE | |
| Internal Medicine, Addiction Medicine | PA | |
| Nurse Practitioner | DE | |
| - | MD | |
| Mental Health Counselor | DE | |
| Certified Nurse Midwife (Cnm) | MD | |
| Nurse Practitioner | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | DE | |
| Nurse Practitioner | DE | |
| Physician Assistant | DE |
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