Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER JORDAN BODDIE-RUSSO, LCSW
ActiveClinical Social Worker · SAN JOSE, CA
Registration Details
- NPI Number
- 1588090286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2013 (12.59925702209 yrs)
- Last Updated
- Jul 30, 2018
- License
-
LCS 29058 (CA)
Practice Information
- Address
-
2101 ALEXIAN DRSUITE DSAN JOSE, CA, 951161901Browse CA providers · Browse ZIP 95116
- Phone
- 4082726513
- Fax
- 4082726557
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| JOANNE MARIE BROWN | LCSW | 1770535395 |
| MRS. KATRANKER DELORES THOMPSON | LCSW | 1942236898 |
| MS. CHERYL NANETTE MIMS | LCSW | 1710918677 |
| ISABEL JOAN MCCARTHY | M.S.W. | 1356376529 |
| MRS. DORIS JEAN O' NEAL | LCSW | 1730107871 |
| WENDY L. HAWKINS | L.C.S.W. | 1679595748 |
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.