National Provider Identifier
Lisa May Russell, LCSW
Lisa May Russell, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Williamsville, NY and a listed phone number of (716) 479-7817.
Profile Overview
- NPI
- 1124814355
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 15, 2025
- Last Updated
- April 15, 2025
Practice Location
- 300 International Dr Ste 100
- Williamsville, NY 14221-5783
Phone: (716) 479-7817
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1124814355
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Lisa
- Middle Name
- May
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 300 International Dr Ste 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5783
- Mailing Country
- US
- Mailing Phone
- (716) 479-7817
- Practice Street Address
- 300 International Dr Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5783
- Practice Country
- US
- Practice Phone
- (716) 479-7817
- Enumeration Date
- April 15, 2025
- Last Updated
- April 15, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)