Individual provider · Type 1 NPI

Laura Antonia Russo

Clinical Social Worker · Tulare, CA

NPI number 1205344231 Active

Practice location

327 S K St
Tulare, CA 93274-5416

Call (559) 688-2043 Map

Mailing address

6641 W Oriole Ave
Visalia, CA 93291-8346

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X85446 (CA)
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700X113905 (CA)

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 1205344231

Laura Antonia Russo's National Provider Identifier is 1205344231, issued on Jan 11, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tulare, CA. The record was last updated on Jul 17, 2026.