Active NPIOrganization

Kristen Russell, LCSW, LLC

Social Worker, Clinical in Granby, Connecticut

NPI Number1548617400
Practice location
2 Park Place, Granby, CT 06035
Fax
—
Last updated
May 20, 2016

Kristen Russell, LCSW, LLC is a healthcare organization based in Granby, CT. Kristen Russell, LCSW, LLC practices in Granby, CT. The NPI Number for Kristen Russell, LCSW, LLC is 1548617400 and holds a License No. 006269 (CT). The current practice location address for Kristen Russell, LCSW, LLC is 2 Park Place, Granby, CT 06035 and can be reached out via phone at 860-993-6347.

Provider Profile Details

NPI Number
1548617400
Provider Name
Kristen Russell, LCSW, LLC
Provider Entity Type
Organization
Address
2 Park Place, Granby, CT 06035
Phone Number
860-993-6347
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Ms. Kristen Russell, LCSW · Owner/Manager · 860-993-6347
Provider Enumeration Date
May 20, 2016
Last Update Date
May 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Park Place
Granby, CT 06035
City
Granby
Zip
06035
Phone Number
860-993-6347
Granby, CT 06035Get directions →

Provider Business Mailing Address Details

Address
Po Box 11
Granby, CT 06035-0011
City
Granby
State
CT
Zip
06035-0011
Phone Number
860-993-6347

License Information

License Number
006269
License State
CT
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 Kristen Russell, LCSW, LLC?

The NPI number of Kristen Russell, LCSW, LLC is 1548617400. It was assigned on May 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Kristen Russell, LCSW, LLC?

Kristen Russell, LCSW, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006269.

Where does Kristen Russell, LCSW, LLC practice?

The practice location is 2 Park Place, Granby, CT 06035. The office can be reached at 860-993-6347 (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 1548617400 directly on the NPPES registry website.

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