Active NPIIndividual providerSole proprietor

Nicholas G Larussa, LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1114681186
Practice location
115 Mill St, Belmont, MA 02478-1048
Fax
—
Last updated
October 28, 2021

Nicholas George Larussa is a Social Worker, Clinical based in Belmont, MA. Nicholas George Larussa practices in Belmont, MA and has the professional credentials of LICSW. The NPI Number for Nicholas George Larussa is 1114681186 and holds a License No. 000124267 (MA). The current practice location address for Nicholas George Larussa is 115 Mill St, Belmont, MA 02478-1048 and can be reached out via phone at 617-894-1937.

Provider Profile Details

NPI Number
1114681186
Provider Name
Nicholas George Larussa
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
115 Mill St, Belmont, MA 02478-1048
Phone Number
617-894-1937
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2021
Last Update Date
October 28, 2021
Certification Date
October 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1048
Zip
02478-1048
Phone Number
617-894-1937
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
20 Exeter St
Belmont, MA 02478-3648
City
Belmont
State
MA
Zip
02478-3648
Phone Number
617-894-1937

License Information

License Number
000124267
License State
MA
Taxonomy
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 Nicholas G Larussa, LICSW?

The NPI number of Nicholas G Larussa, LICSW is 1114681186. It was assigned on October 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Nicholas G Larussa, LICSW?

Nicholas G Larussa, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000124267.

Where does Nicholas G Larussa, LICSW practice?

The practice location is 115 Mill St, Belmont, MA 02478-1048. The office can be reached at 617-894-1937 (phone).

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 1114681186 directly on the NPPES registry website.

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