Individual provider · Type 1 NPI
Lisa Russo Russo, LCSW
Clinical Social Worker · Nantucket, MA
Practice location
4 Corby Way
Nantucket, MA 02554-5313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 231237 (MA) |
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 1184599284
Lisa Russo Russo, LCSW's National Provider Identifier is 1184599284, issued on Oct 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nantucket, MA. The record was last updated on Oct 8, 2025.