Individual provider · Type 1 NPI

Kristin Irene Russo, LICSW

Clinical Social Worker · Taunton, MA

NPI number 1750737573 Active

Practice location

9 Taunton Grn Unit 5
Taunton, MA 02780-3232

Other practice locations

  • 1333 Iris Ave, Boulder, CO 80304-2226 · (303) 443-8500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X100546 (NY)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X123924 (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 1750737573

Kristin Irene Russo, LICSW's National Provider Identifier is 1750737573, issued on May 11, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taunton, MA. The record was last updated on Oct 23, 2022.