Individual provider · Type 1 NPI
Christina Michelle Russo, LICSW
Clinical Social Worker · Lucedale, MS
Practice location
124 Summer St
Lucedale, MS 39452-5918
Mailing address
10315 Blackwell Nursery Rd S
Semmes, AL 36575-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 3054G (AL) |
| Clinical Social Worker Primary | 1041C0700X | C8553 (MS) |
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…
Another provider at this address
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About NPI 1902156599
Christina Michelle Russo, LICSW's National Provider Identifier is 1902156599, issued on Sep 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lucedale, MS. The record was last updated on May 31, 2022.