National Provider Identifier
Gwendolyn Russell, LMSW
Gwendolyn Russell, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 324-9750.
Profile Overview
- NPI
- 1437485950
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 19, 2009
- Last Updated
- October 19, 2009
Practice Location
- 655 Colfax St
- Edison High School Based Health Center
- Rochester, NY 14606-3113
Phone: (585) 324-9750
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1437485950
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Gwendolyn
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 655 Colfax St
- Mailing Address Line 2
- Edison High School Based Health Center
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-3113
- Mailing Country
- US
- Mailing Phone
- (585) 324-9750
- Mailing Fax
- (585) 277-0170
- Practice Street Address
- 655 Colfax St
- Practice Address Line 2
- Edison High School Based Health Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-3113
- Practice Country
- US
- Practice Phone
- (585) 324-9750
- Practice Fax
- (585) 277-0170
- Enumeration Date
- October 19, 2009
- Last Updated
- October 19, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)