Kristin Irene Russo, LICSW is a
Social Worker - Clinical based in Taunton, Massachusetts. Kristin Irene Russo is licensed to practice in Massachusetts (license number 123924) and her current practice location is
9 Taunton Grn Unit 5, Taunton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(716) 720-7051.
NPI number for Kristin Irene Russo is 1750737573 and her current mailing address is 9 Taunton Grn Unit 5, Taunton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750737573.
Healthcare Provider's Profile
| Full Name | Kristin Irene Russo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9 Taunton Grn Unit 5, Taunton, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750737573
- Provider Enumeration Date: 05/11/2016
- Last Update Date: 10/23/2022
Medical Identifiers
Medical identifiers for Kristin Irene Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750737573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 100546 (New York) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123924 (Massachusetts) | 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. Kristin Irene Russo 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 |
|---|
Kristin Irene Russo, LICSW
9 Taunton Grn Unit 5,
Taunton, MA 02780-3232
Ph: (716) 720-7051 | Kristin Irene Russo, LICSW
9 Taunton Grn Unit 5,
Taunton, MA 02780-3232
Ph: (716) 720-7051 |
Reviews and Comments