National Provider Identifier
Michelle S Russo, LCSW
Michelle S Russo, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 233-4687.
Profile Overview
- NPI
- 1194027581
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 17, 2010
- Last Updated
- January 24, 2014
Practice Location
- 114 N Cayuga St
- Ithaca, NY 14850-4331
Phone: (607) 233-4687
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1194027581
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Michelle
- Middle Name
- S
- Credential
- LCSW
- Mailing Street Address
- 114 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4331
- Mailing Country
- US
- Mailing Phone
- (607) 233-4687
- Practice Street Address
- 114 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4331
- Practice Country
- US
- Practice Phone
- (607) 233-4687
- Enumeration Date
- November 17, 2010
- Last Updated
- January 24, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)