Individual provider · Type 1 NPI

Ingrid Angela Russo, MSW, LCSW

Clinical Social Worker · San Angelo, TX

NPI number 1447430004 Active

Practice location

2137 Office Park Dr, Suite F
San Angelo, TX 76904-6893

Call (325) 944-3330 Map

Fax (325) 617-2497

Mailing address

1705 Weston Rd
San Angelo, TX 76901-5333

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X50242 (TX)

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 1447430004

Ingrid Angela Russo, MSW, LCSW's National Provider Identifier is 1447430004, issued on Nov 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Angelo, TX. The record was last updated on Apr 26, 2009.