Individual provider · Type 1 NPI
Deborah J. Russo, LCSW
Clinical Social Worker · Boise, ID
Practice location
814 N 8th St
Boise, ID 83702-5521
Mailing address
55 Evergreen Dr
Boise, ID 83716-3395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 33842 (ID) |
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 1093129744
Deborah J. Russo, LCSW's National Provider Identifier is 1093129744, issued on Jun 19, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jun 12, 2023.