MS. CHRISTINA RUSSELL (LICSW) – Mental Health Counselor, NPI 1558615534

MS. CHRISTINA RUSSELL (LICSW) is a healthcare provider. based in Hyannis, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 117199 (MA). The NPI Number for MS. CHRISTINA RUSSELL (LICSW) is 1558615534

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINA RUSSELL (LICSW)
NPI
1558615534
Phone
(781) 589-0143
Address
213 HINCKLY RD
Enumeration Date
30 October 2012
Last Update Date
30 October 2012

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7815890143
Graduation Year
2005 (21 years ago)
PAC ID
3375797400
Professional Enrollment ID
I20130125000180
Address ID
MA026451804HA11XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MS. CHRISTINA RUSSELL (LICSW)

  • 213 HINCKLY RD

    HYANNIS, MA 02601

    Phone: (781) 589-0143

    Type: Mailing

  • 77 FINLAY RD

    ORLEANS, MA 026533320

    Phone: (781) 589-0143

    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: 2013-01-25

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
I20130125000180IClinical Social WorkerMATBD

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 02601)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. CHRISTINA RUSSELL (LICSW)?
MS. CHRISTINA RUSSELL (LICSW) — NPI 1558615534 — is the standard way to identify this listing.
Does CMS list MS. CHRISTINA RUSSELL (LICSW) as active?
Yes — MS. CHRISTINA RUSSELL (LICSW) is active in the NPI listing used on this page.
What is MS. CHRISTINA RUSSELL (LICSW)'s specialty?
The listing groups MS. CHRISTINA RUSSELL (LICSW) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does MS. CHRISTINA RUSSELL (LICSW) serve?
MS. CHRISTINA RUSSELL (LICSW)'s listing highlights Hyannis, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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