Ms Kathleen E Russo, LCSW | |
Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | |
(908) 352-8375 | |
Not Available |
Full Name | Ms Kathleen E Russo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | Jewish Family Services, Elizabeth, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437288339 | NPI | - | NPPES |
44SC00355900 | Other | NJ | NJ CLINICAL SOC.WORK LIC. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC00355900 (New Jersey) | Primary |
Entity Name | Jewish Family Service Agency Of Central Jersey |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518051572 PECOS PAC ID: 0244294197 Enrollment ID: O20041119000167 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen E Russo, LCSW 670 Richfield Ave, Kenilworth, NJ 07033-1817 Ph: (908) 241-0063 | Ms Kathleen E Russo, LCSW Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 Ph: (908) 352-8375 |
Rachel Berger, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7224 | |
Monica Lee Salermo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 955 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-425-2114 | |
Camren A Fitzsimmons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-352-8375 | |
Mrs. Fay Helen Ross, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-352-8375 | |
Zaneta L. Person, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7032 Fax: 908-994-7247 | |
Trisha Badishian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 655 E Jersey St, Dept. Of Behavioral Health & Psychiatry, Elizabeth, NJ 07206 Phone: 908-994-5000 Fax: 908-994-5000 | |
Elizabeth Pineros, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1126 Dickinson St, Elizabeth, NJ 07201 Phone: 980-351-7727 Fax: 908-353-5185 |