Organization Active NPI

Richard Russo LCSW Inc

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1790077741
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1384123 Issued in WI
Legal business name
RICHARD RUSSO LCSW INC
Practice address
1912 Atwood Ave
Madison, WI 53704-5461
Phone
(608) 251-0839
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mr. Richard Russo
Title
President
Phone
(608) 251-0839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1384123 WI Primary

Addresses

Primary practice location

1912 Atwood Ave
Madison, WI 53704-5461

Mailing address

1912 Atwood Ave
Madison, WI 53704-5461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1790077741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 ATWOOD AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 ATWOOD AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045461",
            "telephone_number": "608-251-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD RUSSO LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-251-0839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1384123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.