National Provider Identifier
Justin Russotti, PHD, LCSW
Justin Russotti, PHD, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 281-4441.
Profile Overview
- NPI
- 1760945463
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 09, 2019
- Last Updated
- April 09, 2019
Practice Location
- 95 Allens Creek RD
- Rochester, NY 14618-3250
Phone: (585) 281-4441
Mailing Address
- 303 Troy RD
- Rochester, NY 14618-2943
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1760945463
- Entity Type
- Individual
- Last Name
- Russotti
- First Name
- Justin
- Name Prefix
- Dr.
- Credential
- PHD, LCSW
- Mailing Street Address
- 303 Troy RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2943
- Mailing Country
- US
- Mailing Phone
- (585) 281-4441
- Practice Street Address
- 95 Allens Creek RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3250
- Practice Country
- US
- Practice Phone
- (585) 281-4441
- Enumeration Date
- April 09, 2019
- Last Updated
- April 09, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)