Individual provider · Type 1 NPI

Lisa J. Russom, LSW

Social Worker · Idaho Falls, ID

NPI number 1003106691 Active

Practice location

1740 E 17th St
Idaho Falls, ID 83404-6375

Call (208) 313-8355 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XLSW-2573 (ID)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1003106691

Lisa J. Russom, LSW's National Provider Identifier is 1003106691, issued on Apr 15, 2011. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 15, 2011.