Individual provider · Type 1 NPI
Bonnie Russo, LCSW, QS
Mental Health Counselor · Port St. Lucie, FL
NPI number
1366922288
Active
Practice location
1729 NW Saint Lucie West Blvd # 1276
Port St. Lucie, FL 34986-2501
Fax (620) 522-8594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | SW15096 (FL) |
| Clinical Social Worker | 1041C0700X | SW15096 (FL) |
| Social Worker | 104100000X | SW15096 (FL) |
| Mental Health Counselor Primary | 101YM0800X | SW15096 (FL) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Port St. Lucie
- Josefina TinajeroMental Health Counselor Port St. Lucie, FL NPI 1003432147
- Antoinette Elizabeth KnightMental Health Counselor Port St. Lucie, FL NPI 1003534660
- Isnara MichelMental Health Counselor Port St. Lucie, FL NPI 1003737032
- Brenda Fay Holmes, MSMental Health Counselor Port St. Lucie, FL NPI 1013266576
- Salisa Jackson Garrand, LMHCMental Health Counselor Port St. Lucie, FL NPI 1013605377
- Alexandra Runde, M.ED.Mental Health Counselor Port St. Lucie, FL NPI 1023387651
- Olivia Easley, PHD LCMHC QSMental Health Counselor Port St. Lucie, FL NPI 1023597457
- Shannon Elizabeth GonzalezMental Health Counselor Port St. Lucie, FL NPI 1023965043
About NPI 1366922288
Bonnie Russo, LCSW, QS's National Provider Identifier is 1366922288, issued on Aug 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Nov 25, 2025.