Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED CIPRIANO RUSSO, LCSW
ActiveMR. FRED CIPRIANO RUSSO, LCSW is a Clinical Social Worker healthcare provider located in EAST NORTHPORT, New York. NPI 1821144288 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1821144288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.363675620044 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R023424 (NY)
Practice Information
- Address
-
1023 PULASKI ROADEAST NORTHPORT, NY, 11731Browse NY providers · Browse ZIP 11731
- Phone
- 6312614296
- Fax
- 6312614296
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EAST NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. RACHELLE H OLSTER | LCSW | 1467435362 |
| DIANE K HENRY | LCSW-R | 1194899716 |
| MS. DEBORAH PESKOFF KUZNICK | LCSW | 1669535969 |
| DR. ELIZABETH ANN ECKHARDT | LCSW, PHD | 1104989037 |
| MS. DIANE L. GORENSTEIN | LCSW | 1790848539 |
| CHRISTA J SCHORN | LCSW | 1528101136 |
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.