RUSSELL LYNN VOLLMER (LCSW) – Social Worker, NPI 1962813253

RUSSELL LYNN VOLLMER (LCSW) is a healthcare provider. based in Malad city, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 286822-3501 (UT). The NPI Number for RUSSELL LYNN VOLLMER (LCSW) is 1962813253

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL LYNN VOLLMER (LCSW)
NPI
1962813253
Phone
(208) 766-2365
Address
PO BOX 100
Enumeration Date
8 May 2014
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015055370
Graduation Year
2014 (12 years ago)
PAC ID
4587888938
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20211025002661
Address ID
UT841021889SA82XXX1100301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for RUSSELL LYNN VOLLMER (LCSW)

  • PO BOX 100

    MALAD CITY, ID 832520100

    Phone: (208) 766-2365

    Fax: (208) 766-2364

    Type: Mailing

  • 2672 N 3100 W

    MALAD CITY, ID 832526519

    Phone: (208) 637-9813

    Type: Mailing

  • 215 E 50 S STE 5

    MALAD CITY, ID 832522300

    Phone: (208) 766-2365

    Fax: (208) 766-2364

    Type: Location

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: 2021-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180117001216IClinical Social WorkerIDTBD
I20211025002661IClinical Social WorkerUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes11712$0
90837Psychotherapy, 1 hour6812$0
View full utilization report →

Insurance plans in this area (ZIP 83252)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
-CO
Internal Medicine, Hospitalist, Internal MedicineNM
Physician AssistantCO

Reviews

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Frequently asked questions

How is RUSSELL LYNN VOLLMER (LCSW) identified in CMS data?
CMS-hosted NPPES data lists RUSSELL LYNN VOLLMER (LCSW) with NPI 1962813253.
Can I rely on RUSSELL LYNN VOLLMER (LCSW) being an active provider?
As of the registry snapshot, RUSSELL LYNN VOLLMER (LCSW) is marked active.
What is RUSSELL LYNN VOLLMER (LCSW) best known for clinically?
Directory data describes RUSSELL LYNN VOLLMER (LCSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where is RUSSELL LYNN VOLLMER (LCSW) based?
RUSSELL LYNN VOLLMER (LCSW) is tied to Malad City, Idaho in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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