P Praxis·MD
● Active Type 1 · Individual

MS. Suzanne Jenkins Russell, LCSW CCM

Social Worker·Coeur D Alene, ID· NPI 1841309838 · Enumerated 2006 · 19 years on NPI
Russell is 1 of 108 social worker providers in Coeur D Alene and 1 of 2000 in Idaho.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
ID, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 5053793703
Mailing address
11400 Ranchitos Rd Ne
Albuquerque, NM 871222394
📞 5053793703fax 5056395780

Additional practice locations

1 secondary location on file with NPPES.

Location 2
11400 Ranchitos Rd Ne
Albuquerque, NM 871222394
📞 5053793703

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LCSW-42025NM license #C-06618 taxonomy 1041C0700X
  • Case Manager/Care Coordinator
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    NM license #4247900 taxonomy 171M00000X

Identifiers

TypeValueNotes
05 (NM) 15226379
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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