National Provider Identifier
Jennifer Russell
Jennifer Russell is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 359-5400.
Profile Overview
- NPI
- 1659664217
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 16, 2011
- Last Updated
- May 18, 2011
Practice Location
- 85 Shell Edge Dr
- Rochester, NY 14623-4356
Phone: (585) 359-5400
Specialties
- Clinical Social Worker (1041C0700X)
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1659664217
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Jennifer
- Name Prefix
- Mrs.
- Mailing Street Address
- 85 Shell Edge Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4356
- Mailing Country
- US
- Mailing Phone
- (585) 359-5400
- Practice Street Address
- 85 Shell Edge Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4356
- Practice Country
- US
- Practice Phone
- (585) 359-5400
- Enumeration Date
- May 16, 2011
- Last Updated
- May 18, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)
- Other Identifiers
- 166002034 (NY)