CYNTHIA MARIE RUSSELL (LCSW) – Clinical Social Worker, NPI 1053489450

CYNTHIA MARIE RUSSELL (LCSW) is a healthcare provider. based in South elgin, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.013675 (IL). The NPI Number for CYNTHIA MARIE RUSSELL (LCSW) is 1053489450

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA MARIE RUSSELL (LCSW)
NPI
1053489450
Phone
(847) 488-1999
Address
460 BRIARGATE DR
Enumeration Date
1 December 2006
Last Update Date
20 December 2019

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8477558090
Graduation Year
2006 (20 years ago)
PAC ID
9133305840
Group Practice PAC ID
9537062138
Professional Enrollment ID
I20110513000554
Address ID
IL601691016HO1786XBLVD402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for CYNTHIA MARIE RUSSELL (LCSW)

  • 460, Briargate Drive, South Elgin, Kane County, Illinois, 60177, United States

    SUITE 700

    SOUTH ELGIN, IL 601772227

    Phone: (847) 488-1999

    Fax: (847) 488-9797

    Type: Location

  • Elmwood Lane, Lexington Green, Schaumburg, Schaumburg Township, Cook County, Illinois, 60193, United States

    SCHAUMBURG, IL 601932032

    Phone: (773) 629-3082

    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: 2011-05-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110513000554IClinical Social WorkerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60177)

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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: 9537062138View full group profile
NameSpecialtyState
Mental Health CounselorIL
-IL
Nurse PractitionerOH
-IL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is CYNTHIA MARIE RUSSELL (LCSW)'s NPI number?
CYNTHIA MARIE RUSSELL (LCSW)'s NPI is 1053489450 — the number used across U.S. healthcare to identify this provider.
Is CYNTHIA MARIE RUSSELL (LCSW) shown as active in public data?
Registry records indicate CYNTHIA MARIE RUSSELL (LCSW) maintains an active NPI.
What clinical focus is listed for CYNTHIA MARIE RUSSELL (LCSW)?
At a glance, CYNTHIA MARIE RUSSELL (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Illinois is CYNTHIA MARIE RUSSELL (LCSW) registered?
Use South Elgin, Illinois as the headline location for CYNTHIA MARIE RUSSELL (LCSW) here.
Can I trust this NPI listing for CYNTHIA MARIE RUSSELL (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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