Individual
METKEL B RUSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-3460
(571) 977-6870
(703) 672-7001
Mailing address
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-3460
(571) 977-6870
(703) 672-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
07/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up