Laura Antonia Russo, is a
Social Worker - Clinical based in Tulare, California. Laura Antonia Russo is licensed to practice in California (license number 85446) and her current practice location is
327 S K St, Tulare, California. She can be reached at her office (for appointments etc.) via phone at
(559) 688-2043.
NPI number for Laura Antonia Russo is 1205344231 and her current mailing address is 6641 W Oriole Ave, Visalia, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205344231.
Healthcare Provider's Profile
Full Name | Laura Antonia Russo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 327 S K St, Tulare, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205344231
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 04/16/2019
Medical Identifiers
Medical identifiers for Laura Antonia Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205344231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 85446 (California) | 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. Laura Antonia 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 |
Laura Antonia Russo, 6641 W Oriole Ave, Visalia, CA 93291-8346 Ph: (301) 247-4198 | Laura Antonia Russo, 327 S K St, Tulare, CA 93274-5416 Ph: (559) 688-2043 |
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