What is Lisa Russom's NPI number?

Lisa Russom's National Provider Identifier (NPI) is 1003106691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Russom's specialty?

Lisa Russom is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Lisa Russom located?

Lisa Russom's practice location on file with NPPES is 1740 E 17th St, Idaho Falls, ID 83404-6375.

What is Lisa Russom's phone number?

The practice phone number listed in the NPPES registry for Lisa Russom is (208) 313-8355.

Is Lisa Russom's NPI active?

Yes — Lisa Russom's NPI (1003106691) is active in the NPPES registry as of the last update on 2011-04-15.

IndividualActive

Lisa Russom, LSW

NPI 1003106691 · Social Worker · Idaho Falls, ID

Lisa Russom, LSW is a Social Worker provider in Idaho Falls, ID (NPI 1003106691).

Provider details

NPI number: 1003106691
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LSW
Sex: Female
Sole proprietor: No
License: LSW-2573 (ID)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense LSW-2573 (ID)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1740 E 17th St

Idaho Falls, ID 83404-6375

Phone: (208) 313-8355

Street-level locationGet directions

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Mailing address