Ingrid Angela Russo, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50242 Issued in TX

Practice address

2137 Office Park Dr
Suite F
San Angelo, TX 76904-6893

Phone

(325) 944-3330

Fax

(325) 617-2497

NPI assigned

Nov 11, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• West Texas Counseling & Guidance Inc

  • Mental Health Counselor
  • San Angelo, TX
  • NPI 1093868267
  Medicare reassignment

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240704000000",
    "number": "1447430004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WESTON RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015333",
            "telephone_number": "325-224-0534",
            "fax_number": "325-617-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 OFFICE PARK DR",
            "address_2": "SUITE F",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046893",
            "telephone_number": "325-944-3330",
            "fax_number": "325-617-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "INGRID",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2009-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Alcide Roy, PHARMD
• Jennifer Kay Ruda
• Maddelyn Rudd, LPCA
• Charles E Rudolph, PHD
• Ryan Rule, MD
• Harvey D Russwurm, MD
• Nicole Schmoll Russwurm, M.S. CCC-SLP
• Amy Rutherford, M. ED., LPC
• Mallory Rochelle Ryalls
• Kellie Marie Ryan - Wilson, CNM

• Clinical Social Worker in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2009; 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.