Diane G Russell Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801066657 Issued in MI

Legal business name

DIANE G RUSSELL THERAPY SERVICES LLC

Practice address

640 Griswold St
Suite 300
Northville, MI 48167-1690

Phone

(248) 996-5383

Fax

(586) 773-6093

NPI assigned

Dec 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Diane G Russell, LMSW

Title

Social Worker

Phone

(248) 996-5383

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1184969719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GRISWOLD ST",
            "address_2": "SUITE 300",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671690",
            "telephone_number": "248-996-5383",
            "fax_number": "586-773-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GRISWOLD ST",
            "address_2": "SUITE 300",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671690",
            "telephone_number": "248-996-5383",
            "fax_number": "586-773-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE G RUSSELL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "248-996-5383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Carol Depauw, DNP
• Erin Depp
• Alpa M. Desai, O.D.
• Deepa Devan, PMHNP-BC
• David Moore Devellis, M.D.
• Mary Dipaolo, MA LLP
• Anna Dluzynski, LMSW
• Stephen James Dluzynski
• Carrie Dodge
• Caryn Lynn Doehler, MSW

• Clinical Social Worker in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.