Active NPIIndividual providerSole proprietor

Anne P Russo, LICSW

Social Worker, Clinical in Holden, Massachusetts

NPI Number1063472181
Practice location
1349 Main St, Holden, MA 01520
Fax
508-829-2774
Last updated
July 8, 2007

Anne Paulette Russo is a Social Worker, Clinical based in Holden, MA. Anne Paulette Russo practices in Holden, MA and has the professional credentials of LICSW. The NPI Number for Anne Paulette Russo is 1063472181 and holds a License No. R040227-1 (NY). The current practice location address for Anne Paulette Russo is 1349 Main St, Holden, MA 01520 and can be reached out via phone at 508-829-2771 and via fax at 508-829-2774.

Provider Profile Details

NPI Number
1063472181
Provider Name
Anne Paulette Russo
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1349 Main St, Holden, MA 01520
Phone Number
508-829-2771
Fax Number
508-829-2774
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1349 Main St
Holden, MA 01520
City
Holden
Zip
01520
Phone Number
508-829-2771
Fax Number
508-829-2774
Holden, MA 01520Get directions →

Provider Business Mailing Address Details

Address
1349 Main St
Holden, MA 01520
City
Holden
State
MA
Zip
01520
Phone Number
508-829-2771
Fax Number
508-829-2774

License Information

License Number (1)
R040227-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
107716
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anne P Russo, LICSW?

The NPI number of Anne P Russo, LICSW is 1063472181. It was assigned on March 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Anne P Russo, LICSW?

Anne P Russo, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R040227-1.

Where does Anne P Russo, LICSW practice?

The practice location is 1349 Main St, Holden, MA 01520. The office can be reached at 508-829-2771 (phone) or 508-829-2774 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063472181 directly on the NPPES registry website.

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