Organization · Type 2 NPI

Michelle Russo, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1801368808 Active

Practice location

108 N Cayuga St
Ithaca, NY 14850-4346

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1801368808

Michelle Russo, LCSW's National Provider Identifier is 1801368808, issued on Jan 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jan 2, 2019.