DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONNIE RUSSO, LCSW, QS

Active Sole Proprietor

BONNIE RUSSO, LCSW, QS is a Mental Health Counselor healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1366922288 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1366922288
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2018 (8.0016430330913 yrs)
Last Updated
Nov 25, 2025
Licenses
SW15096 (FL)
SW15096 (FL)
SW15096 (FL)
SW15096 (FL)
Sole Proprietor
Yes

Practice Information

Address
1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL, 349862501
Browse FL providers · Browse ZIP 34986
Phone
5614129281
Fax
6205228594
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PORT SAINT LUCIE, FL

Name Credential NPI
MARIA E DUBOY LMHC 1487601688
MRS. LAUREN ROBERTS M.A. 1609988724
MS. DARA RENEE WILLIAMS LMHC 1831384544
MARIA DEL PILAR GRETO M.S. 1205007481
VIVIAN YOLANDA STONE LMHC 1356592026
CHRISTINE M CHRISTOPHER IMH 9687 1952548513
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.