Michelle Russo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHELLE RUSSO, LCSW

Practice address

108 N Cayuga St
Ithaca, NY 14850-4346

Phone

(607) 760-4300

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Russo

Title

Licensed Clinical Social Worker

Phone

(607) 760-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1801368808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504346",
            "telephone_number": "607-760-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE RUSSO, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "607-760-4300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Meyers
• Patricia Meyers
• Jed A Michael
• Justinian Evangelos Michaels
• Michelle Kwintner
• Susan Michlovitz, PT
• Alan T Midura, M.D.
• Sharon Ryan Mier
• Patrycia Mikiciuk
• Paul Istvan Mikowski, PSY.D.

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, 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 Jan 2, 2019; 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.