Marie Josephine Russo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04757300 Issued in NJ

Practice address

246 Edison & Valley Road
Clifton, NJ 07013

Phone

(973) 572-6507

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2014.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1922346014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GREGORY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524618",
            "telephone_number": "973-572-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 EDISON & VALLEY ROAD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-572-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MARIE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04757300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ruiz-Pedraza, LAC
• Frank Ruiz, MD
• Brielle Alexandra Ruppert, MS CCC SLP
• Melissa Rusli, D.O.
• Lauren Ann Russo, OTR
• Melchiorre Joseph Russo, MD
• Roberto Russo, DDS
• Michael C Russonella, DO
• Eva J Rymaszewska, PHARM D
• Ryszard Krol, M.D. LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.