Elizabeth M Russo, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

041798 Issued in NY

Practice address

1311 Union St
Schenectady, NY 12308-2905

Phone

(518) 374-6263

Fax

(518) 374-1778

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Delgaudio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Union Counseling Services, PLLC

  • Mental Health Counselor
  • Schenectady, NY
  • NPI 1851514384
  NPD (past)
• Union Street Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Malta, NY
  • NPI 1215129325
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306162052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 UNION ST.",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-374-6263",
            "fax_number": "518-374-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082905",
            "telephone_number": "518-374-6263",
            "fax_number": "518-374-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "041798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DELGAUDIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter J Runge, M.D.
• Meghan Rusch
• Brendon Russell
• Caitlin R Russell, DO
• Jane F Russell, RN
• Ronald Charles Russo, M.D.
• Matthew David Ruston, DC
• Bradford Ruthberg, MD
• Mary Beth Ryan, LCSW
• Shannon E Ryan, MS, ATC

• Clinical Social Worker in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.