Individual provider · Type 1 NPI

Biagio S. Russo Iv

Peer Specialist · Cleveland, OH

NPI number 1174484851 Active

Practice location

2121 W 117th St
Cleveland, OH 44111-1642

Call (216) 417-4831 Map

Fax (216) 417-0040

Mailing address

4302 E 72nd St
Cleveland, OH 44105-5704

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XPRS.007465 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1174484851

Biagio S. Russo Iv's National Provider Identifier is 1174484851, issued on Nov 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Sep 11, 2026.