Kathleen E. Russo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00355900 Issued in NJ

Practice address

Jewish Family Services
655 Westfield Ave.
Elizabeth, NJ 07208

Phone

(908) 352-8375

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Service Agency of Central JerseyGroup PAC ID 0244294197, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family Service Agency of Central Jersey

  • Clinical Social Worker
  • Elizabeth, NJ
  • NPI 1518051572
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437288339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 RICHFIELD AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331817",
            "telephone_number": "908-241-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEWISH FAMILY SERVICES",
            "address_2": "655 WESTFIELD AVE.",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-352-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KATHLEEN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00355900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CLINICAL SOC.WORK LIC.",
            "identifier": "44SC00355900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ruchaevsky, LCSW
• Russell Rudyk
• Donna Lynn Ruh, CRNA
• Hermes Jesus Ruiz, DC
• Ruth Ruiz
• Lisa Maria Russo, RD
• Saadiya Health LLC
• Elvira Sabater, DDS
• Natalya Saburova, MD
• Zain Sadiq

• Clinical Social Worker in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.