Teresa Marie Antonette Russell, LCSW is a 
Social Worker - Clinical based in Busby, Montana. Teresa Marie Antonette Russell is licensed to practice in Montana (license number 824) and her current practice location is 
29 417 E Hyw 212, Busby, Montana. She can be reached at her office (for appointments etc.) via phone at 
(406) 592-3515.
NPI number for Teresa Marie Antonette Russell is 1780847616 and her current mailing address is Po Box 201, Busby, Montana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780847616.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Teresa Marie Antonette Russell | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 29 417 E Hyw 212, Busby, Montana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1780847616
 - Provider Enumeration Date: 07/10/2008
 - Last Update Date: 10/26/2015
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Teresa Marie Antonette Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1780847616 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  | 824 (Montana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Marie Antonette Russell is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Teresa Marie Antonette Russell, LCSW Po Box 201, Busby, MT 59016-0201 Ph: (406) 592-3515 | Teresa Marie Antonette Russell, LCSW 29 417 E Hyw 212, Busby, MT 59016-0201 Ph: (406) 592-3515 | 
		
		 
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