Kerri Russell-Russo, LCSW & Associates Psychotherapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KERRI RUSSELL-RUSSO, LCSW & ASSOCIATES PSYCHOTHERAPY SERVICES, LLC

Practice address

35 Beaverson Blvd Ste 4D
Brick, NJ 08723-7857

Phone

(732) 477-1980

Fax

(732) 477-4163

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kerri Lynn Russo, LCSW

Title

LCSW/Owner

Phone

(908) 433-7419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1679183263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OAK GLEN RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533478",
            "telephone_number": "908-433-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 4D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237857",
            "telephone_number": "732-477-1980",
            "fax_number": "732-477-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI RUSSELL-RUSSO, LCSW & ASSOCIATES PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "908-433-7419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Keefe, PSY.D.
• Patrick Joseph Keelan, OD
• Jacqueline Carla Kelly-Gallello, DPT
• Francis James Kelly, MD
• Morgan Kennedy, SLP
• Jennifer J Kesil, P.A.-C
• Kristine Kesselman, RN
• Kessler Institute for Rehabilitation Inc
• Kessler Institute for Rehabilitation Inc
• Leonard Michael Kessler, DMD

• All providers in Brick, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.