About

Jessica Nicole Jack Russell is a Clinical Social Worker in Warren, Ohio. She attended and graduated from University Of Pittsburgh School Of Medicine in 2007. She has over 17 years of experience. She is affiliated with Preferred Care Associates, LLC (also known as Preferred Care Counseling). Jessica N. Russell is a group member of Rajendra P Koirala, M.d., LLC. Contact Jessica Nicole Jack Russell to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 0749616464

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Preferred Care Associates, LLC

Gender

Female

Years in Practice

17 years

Healthcare Provider Taxonomy

  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Licensed Independent Social Worker (LISW)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90791 Psychiatric diagnostic evaluation 12 12

Group Practices

Group practices this therapist belongs to includes:

Rajendra P Koirala, M.d., LLC
Address 725 Boardman Canfield Rd
Suite L1
Boardman, OH 44512-4370
Group PAC ID 8820334931
Group Members 9

Licenses

Name License Number State
LISW I.1901879 Verify OH

Education

School Year Graduated
University Of Pittsburgh School Of Medicine 2007

Practice Locations

425 Niles Cortland Rd SE

Warren, OH 44484-2478

Phone Number: (330) 856-3975

725 Boardman Canfield Rd

Suite L1

Boardman, OH 44512-4370

Phone Number: (330) 330-8655

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