Individual provider · Type 1 NPI

Richard Louis Russo, LCSW

Clinical Social Worker · Madison, WI

NPI number 1053405100 Active

Practice location

1400 E Washington Ave, Suite 187
Madison, WI 53703-3041

Fax (608) 255-2752

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1384-123 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053405100

Richard Louis Russo, LCSW's National Provider Identifier is 1053405100, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.