Jessica Veronica Russo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092810 Issued in NY

Practice address

2423 SW 147TH Ave # 505
Miami, FL 33185-4082

Phone

(305) 697-2354

NPI assigned

May 18, 2022

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

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

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.

• Behavioral Health Services North, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Queensbury, NY
  • NPI 1447005541
  NPD
• Behavioral Health Services North, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morrisonville, NY
  • NPI 1689621468
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1447997648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 SW 162ND PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934419",
            "telephone_number": "845-701-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVE # 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854082",
            "telephone_number": "305-697-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 1/2 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127541402",
            "country_code": "US",
            "telephone_number": "305-697-2354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JESSICA",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Maria Russo-Lolas
• Carolina Irigoyen Russo
• Evelyn Russo, L.M.T.
• Fabrizio Russo, DPT
• Gianella Russo
• Thomas Russo, MD
• James Knowles Rustad, M.D.
• Hans Christian Rutzen Lopez, M.D.
• Noelle Rutzen, PHYSICIAN ASSISTANT
• Yoe Ruz, B.S.

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.