MS. MARYBETH RUSSO (NPI# 1073730651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073730651 |
| Entity Type | Individual |
| Full Name | MS. MARYBETH RUSSO |
| Credential | LCSW |
| Practice Address |
9975 Hillside Terrace Marcy NY 13403 |
| Practice Telephone | 3157974969 |
| Mailing Telephone | 3157974969 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
RO 37233-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RO37233-1 | 05 |
| Street Address |
9975 HILLSIDE TERRACE |
| City | MARCY |
| State | NY |
| Zip Code | 13403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085330 | Magdalena Pociecha | Registered Nurse | 6050 Cavanaugh Road, Marcy, NY 13403 | 2018-09-02 |
| 1154856805 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 9225 River Rd, Marcy, NY 13403 | 2017-05-01 |
| 1396097358 | Denise Bulak | Registered Nurse | 6000 Route 291, Marcy, NY 13403 | 2012-10-15 |
| 1932417649 | Susan O. Shaffer | Occupational Therapist | 9479 Maynard Drive, Marcy, NY 13403 | 2010-09-15 |
| 1356507339 | Karen Ann Tourtelot | Registered Nurse | Central New York Psychiatric Center, River Rd, Marcy, NY 13403 | 2008-07-30 |
| 1407033640 | Randy Allen Dymond | Social Worker | Central New York Psychiatric Center, Old River Road, Marcy, NY 13403 | 2008-01-30 |
| 1972783629 | James A Mastroianni | Pharmacist | 9225 River Road, Marcy, NY 13403 | 2007-11-10 |
| 1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
| 1447388848 | Mountainside Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 5995 Route 291, Marcy, NY 13403 | 2007-02-28 |
| 1073145736 | Alexis Lafave | Licensed Practical Nurse | 6054 Cavanaugh Rd, Marcy, NY 13403 | 2020-02-10 |
| Find all providers in zip 13403 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971901 | Jennifer Acee Hughes | Social Worker | 9479 Maynard Dr, Marcy, NY 13403-2231 | 2019-09-13 |
| 1407033640 | Randy Allen Dymond | Social Worker | Central New York Psychiatric Center, Old River Road, Marcy, NY 13403 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.