Mrs. Lisa R Russo, LCSW
Social Worker, Clinical in Nantucket, Massachusetts
1184599284- Practice location
- 4 Corby Way, Nantucket, MA 02554-5313
- Phone
- 201-906-8115
- Fax
- —
- Last updated
- October 8, 2025
Lisa Russo Russo is a Social Worker, Clinical based in Nantucket, MA. Lisa Russo Russo practices in Nantucket, MA and has the professional credentials of LCSW. The NPI Number for Lisa Russo Russo is 1184599284 and holds a License No. 231237 (MA). The current practice location address for Lisa Russo Russo is 4 Corby Way, Nantucket, MA 02554-5313 and can be reached out via phone at 201-906-8115.
Provider Profile Details
- NPI Number
- 1184599284
- Provider Name
- Lisa Russo Russo
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Corby Way, Nantucket, MA 02554-5313
- Phone Number
- 201-906-8115
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 8, 2025
- Last Update Date
- October 8, 2025
- Certification Date
- October 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Corby Way
Nantucket, MA 02554-5313 - City
- Nantucket
- State
- Massachusetts
- Zip
- 02554-5313
- Phone Number
- 201-906-8115
Provider Business Mailing Address Details
- Address
- 4 Corby Way
Nantucket, MA 02554-5313 - City
- Nantucket
- State
- MA
- Zip
- 02554-5313
- Phone Number
- 201-906-8115
License Information
- License Number
- 231237
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Nantucket, MA
View all Social Worker, Clinical providers in Nantucket →- Amanda B Wright, LICSWSocial Worker, Clinical · NPI 1912494857
- Daniel P Norris, LCSWSocial Worker, Clinical · NPI 1225339245
- Julie KingstonSocial Worker, Clinical · NPI 1073814158
- Lilliana Rios, MSWSocial Worker, Clinical · NPI 1437849445
- Megan Harvey, MSWSocial Worker, Clinical · NPI 1982074829
- Michele E Brady, LICSWSocial Worker, Clinical · NPI 1245739416
Frequently Asked Questions
What is the NPI number of Mrs. Lisa R Russo, LCSW?
The NPI number of Mrs. Lisa R Russo, LCSW is 1184599284. It was assigned on October 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lisa R Russo, LCSW?
Mrs. Lisa R Russo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 231237.
Where does Mrs. Lisa R Russo, LCSW practice?
The practice location is 4 Corby Way, Nantucket, MA 02554-5313. The office can be reached at 201-906-8115 (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 1184599284 directly on the NPPES registry website.