ELIZABETH BRUCE RUSSELL (NPI# 1235647082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235647082 |
| Entity Type | Individual |
| Full Name | ELIZABETH BRUCE RUSSELL |
| Practice Address |
21 Willow Pond Way Ste 204 Penfield NY 14526-2687 |
| Practice Telephone | 5856785133 |
| Mailing Telephone | 5856785133 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
077529 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952792574 | Elizabeth Russell | Counselor | 4835 Shawnee Dr, Kansas City, KS 66106-3712 | 2015-02-18 |
| 1750701538 | Elizabeth Russell | Specialist/Technologist | 21003 Ih 35, Kyle, TX 78640-4745 | 2014-04-21 |
| 1043633530 | Elizabeth Russell | Occupational Therapy Assistant | 5217 Smartt Dr, Nashville, TN 37220-2029 | 2014-02-04 |
| 1235388380 | Elizabeth M Russell | Massage Therapist | 3132 50th St, Suite B, Lubbock, TX 79413-4104 | 2008-09-13 |
| 1609994813 | Elizabeth Diane Russell | Physical Therapist | 5407 Union Sq, Benton, AR 72019-6898 | 2007-03-26 |
| 1154457497 | Elizabeth Jane Russell | Marriage & Family Therapist | 1346 N Alta Vista Blvd, Los Angeles, CA 90046-4302 | 2007-02-23 |
| 1164984852 | Elizabeth Russell | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2019-04-02 |
| 1083103253 | Elizabeth Ruth Russell | Social Worker | 3310 Perimeter Hill Dr, Nashville, TN 37211-4123 | 2018-05-03 |
| 1740795160 | Elizabeth R Russell | Counselor | 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 | 2017-12-07 |
| 1245779263 | Elizabeth Russell | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2017-02-23 |
| Street Address |
21 WILLOW POND WAY STE 204 |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513658 | Fresh Alternative Counseling, Lcsw, Pllc | Clinic/Center | 21 Willow Pond Way Ste 204, Penfield, NY 14526-2687 | 2020-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| 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 |
|---|---|---|---|---|
| 1598230567 | Jason Mckinney | Social Worker | 44 Hilltop Dr, Penfield, NY 14526-2543 | 2018-10-05 |
| 1972944577 | Kristin Gross | Social Worker | 24 Putting Green Ln, Penfield, NY 14526-2534 | 2013-07-11 |
| 1730400284 | Lauren Marie Ayres | Social Worker | 21 Willow Pond Way Ste 103, Penfield, NY 14526-2687 | 2010-06-18 |
| 1992916738 | Interact, Inc. | Social Worker | 2136 Penfield Rd, Penfield, NY 14526-1736 | 2007-05-24 |
| 1578697223 | Rachael Madeline Boehmer | Social Worker | 441 Penbrooke Dr Ste 10, Penfield, NY 14526-2046 | 2007-03-15 |
| 1386770097 | Alanna Roemer-koke | Social Worker | 2006 Five Mile Line Rd, Penfield, NY 14526-1419 | 2007-02-26 |
| 1235193962 | Bruce Teall | Social Worker | 401 Penfield Dr., Bldg #3, Penfield, NY 14526 | 2006-04-12 |
| 1750350385 | Barbara L. Klumpp | Social Worker | 857 Embury Rd, Penfield, NY 14526-9703 | 2006-03-16 |
| 1053392159 | Jane Elizabeth Giarrizzo | Social Worker | 21 Willow Pond Way, Suite 202, Penfield, NY 14526-2687 | 2005-11-07 |
| 1982165270 | Patrick J Cayouette | Social Worker | 21 Willow Pond Way Ste 103, Penfield, NY 14526-2687 | 2019-03-28 |
| Find all providers in PENFIELD | ||||
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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.