Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KAILEEN RUSSELL, LICSW
Active Sole ProprietorMRS. KAILEEN RUSSELL, LICSW is a Clinical Social Worker healthcare provider located in EAST LONGMEADOW, Massachusetts. NPI 1073860847 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EAST LONGMEADOW, MA
Registration Details
- NPI Number
- 1073860847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2012 (13.988129038431 yrs)
- Last Updated
- Jul 3, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
264 N MAIN ST STE 14EAST LONGMEADOW, MA, 010281837Browse MA providers · Browse ZIP 01028
- Phone
- 4135641407
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EAST LONGMEADOW, MA
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN ANTHONY LANEVE JR. | MSW LICSW | 1396730750 |
| MISS PHUONG LOAN DO | LICSW | 1467561316 |
| GENA MARIE ROTAS | LICSW | 1306927561 |
| CYNTHIA PORTER | — | 1548346836 |
| MONIQUE T SHERMAN | — | 1841361227 |
| MRS. PAULA MOYNAHAN CHEVALIER | LICSW | 1952464091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.