Individual provider Active NPI

John Michael Russo, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1346451606
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016527 Issued in PA
Practice address
6315 Forbes Ave Ste 125C
Pittsburgh, PA 15217-1745
Phone
(412) 515-5746
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016527 PA Primary

Addresses

Primary practice location

6315 Forbes Ave Ste 125C
Pittsburgh, PA 15217-1745

Mailing address

111 N Park St
Monroeville, PA 15146-4013
Phone (203) 500-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000677 PA Practitioner - Clinical Social Worker 4183711849 Reassigns benefits to 2 organizations
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Persoma P.C.Group PAC ID 9436046828, 22 clinicians

Practice addresses (Care Compare)

2540 Monroeville Blvd
Monroeville, PA 15146-2329
Phone (412) 823-5155

300 Oxford Dr
Suite 110
Monroeville, PA 15146-2361

6315 Forbes Ave
Suite 125C
Pittsburgh, PA 15217-1745
Phone (412) 515-5746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016527PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Michael Russo CurrentSince Feb 13, 2026 Accepting new patients
Persoma P.C. CurrentSince Dec 15, 2022 Accepting new patients
State of Connecticut Past Accepting new patients

Locations

2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411

300 Oxford Dr
Ste 110
Monroeville, PA 15146
Phone 4128235155801

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1346451606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N PARK ST",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464013",
            "telephone_number": "203-500-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 FORBES AVE STE 125C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171745",
            "telephone_number": "412-515-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.