Michelle E Russell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093069 Issued in NY

Practice address

24 Hamilton PL
Garden City, NY 11530-5907

Phone

(516) 633-8329

NPI assigned

Aug 25, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1700505476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMILTON PL",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305907",
            "telephone_number": "516-633-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HAMILTON PL",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305907",
            "telephone_number": "516-633-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ruderman
• Linda Ruggiero
• Carli Rose Rumstein, MS OTR/L
• Rachel Anne Ruotolo, M.D.
• Stephen C. Rush, MD
• Murray Allan Russell, D.C.
• Ashley Taylor Russo, DPM
• Sandra Ann Russo, MD
• Gerard Ryan
• Donna Ryniker

• Clinical Social Worker in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.