Individual provider · Type 1 NPI

Justin Russotti, PhD, LCSW

Clinical Social Worker · Rochester, NY

NPI number 1760945463 Active

Practice location

95 Allens Creek Rd
Rochester, NY 14618-3250

Mailing address

303 Troy Rd
Rochester, NY 14618-2943

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X087393 (NY)

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 1760945463

Justin Russotti, PhD, LCSW's National Provider Identifier is 1760945463, issued on Apr 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 9, 2019.