Active NPIIndividual providerSole proprietor

Ms. Marie J Russo, LCSW

Social Worker, Clinical in Clifton, New Jersey

NPI Number1922346014
Practice location
246 Edison & Valley Road, Clifton, NJ 07013
Fax
—
Last updated
September 8, 2014

Marie Josephine Russo is a Social Worker, Clinical based in Clifton, NJ. Marie Josephine Russo practices in Clifton, NJ and has the professional credentials of LCSW. The NPI Number for Marie Josephine Russo is 1922346014 and holds a License No. 44SC04757300 (NJ). The current practice location address for Marie Josephine Russo is 246 Edison & Valley Road, Clifton, NJ 07013 and can be reached out via phone at 973-572-6507.

Provider Profile Details

NPI Number
1922346014
Provider Name
Marie Josephine Russo
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
246 Edison & Valley Road, Clifton, NJ 07013
Phone Number
973-572-6507
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2013
Last Update Date
September 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Edison & Valley Road
Clifton, NJ 07013
Zip
07013
Phone Number
973-572-6507
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
139 Gregory Ave
West Orange, NJ 07052-4618
City
West Orange
State
NJ
Zip
07052-4618
Phone Number
973-572-6507

License Information

License Number
44SC04757300
License State
NJ
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 Ms. Marie J Russo, LCSW?

The NPI number of Ms. Marie J Russo, LCSW is 1922346014. It was assigned on January 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Marie J Russo, LCSW?

Ms. Marie J Russo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04757300.

Where does Ms. Marie J Russo, LCSW practice?

The practice location is 246 Edison & Valley Road, Clifton, NJ 07013. The office can be reached at 973-572-6507 (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 1922346014 directly on the NPPES registry website.

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