IndividualActive
Jaclyn Russell, LCSW
NPI 1891045670 · Clinical Social Worker · Wantagh, NY
Jaclyn Russell, LCSW is a Clinical Social Worker provider in Wantagh, NY (NPI 1891045670).
Provider details
- NPI number
- 1891045670
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 083040-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1400 Wantagh Ave Ste 208
Wantagh, NY 11793-2210
Phone: (516) 209-8533
Street-level locationGet directions
Mailing address
1400 Wantagh Ave Ste 208
Wantagh, NY 11793-2210
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Frequently asked questions
- What is Jaclyn Russell's NPI number?
- Jaclyn Russell's National Provider Identifier (NPI) is 1891045670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Russell's specialty?
- Jaclyn Russell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jaclyn Russell located?
- Jaclyn Russell's practice location on file with NPPES is 1400 Wantagh Ave Ste 208, Wantagh, NY 11793-2210.
- What is Jaclyn Russell's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Russell is (516) 209-8533.
- Is Jaclyn Russell's NPI active?
- Yes — Jaclyn Russell's NPI (1891045670) is active in the NPPES registry as of the last update on 2023-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.