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

MRS. CHRISTINA MICHELLE RUSSO, LICSW

Active Sole Proprietor

MRS. CHRISTINA MICHELLE RUSSO, LICSW is a Clinical Social Worker healthcare provider located in LUCEDALE, Mississippi. NPI 1902156599 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LUCEDALE, MS

Registration Details

NPI Number
1902156599
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2012 (13.737426177848 yrs)
Last Updated
May 31, 2022
Licenses
3054G (AL)
C8553 (MS)
Sole Proprietor
Yes

Practice Information

Address
124 SUMMER ST
LUCEDALE, MS, 394525918
Browse MS providers · Browse ZIP 39452
Phone
2512098879
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LUCEDALE, MS

Name Credential NPI
MRS. SUSAN H. COTHRAN LCSW 1831333806
DR. MARY ELIZABETH BARLOW PHD 1376908533
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.