BONNIE RUSSO


Address: 1505 Delaware Ave, Fort Pierce, FL 34950-3975
Phone: 5618449443

BONNIE RUSSO (NPI# 1366922288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366922288
Entity Type Individual
Full Name BONNIE RUSSO
Other Name BONNIE PELOQUIN
Credential LCSW
Practice Address 1505 Delaware Ave
Fort Pierce
FL 34950-3975
Mailing Address 5827 Corporate Way
West Palm Beach
FL 33407-2000
Practice Telephone 5618449443
Practice Fax Number 5614729692
Mailing Telephone 5618449443
Mailing Fax Number 5614729692
Enumeration Date 2018-08-20
Last Update Date 2019-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW15096 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1505 DELAWARE AVE
City FORT PIERCE
State FL
Zip Code 34950-3975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215938519 Cheryl Elaine Wayne Pediatrics 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2005-08-09
1457993586 Kali Garcia Malpica Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2019-10-10
1851947568 Emily Pham Dentist 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2019-08-18
1396209466 Stanley Jose Guerrero Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2019-01-23
1841771177 Reinaldo Hernandez Silva Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2018-08-24
1770063745 Rene Leyva Quevedo Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2018-08-18
1275078487 Serge Volma Valme Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2016-12-23
1184009052 Melissa Allen Davis Pharmacist 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2015-07-21
1518355403 Florida Community Health Center Pharmacy 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2014-12-31
1487064655 Karin T Klause Nurse Practitioner 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2014-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659853018 New Day Counseling & Wellness, LLC Clinic/Center 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 2018-09-03
1548749351 Jaber's Pharmacy, Inc. Pharmacy 2210 Orange Ave, Fort Pierce, FL 34950 2018-08-13
1386139699 Pas Substance Abuse, Inc. Substance Abuse Rehabilitation Facility 2017 Avenue D, Fort Pierce, FL 34950 2018-06-28
1629573134 Southeastern Dme LLC Durable Medical Equipment & Medical Supplies 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 2018-03-27
1962903666 Serenity Dme LLC Durable Medical Equipment & Medical Supplies 111 N 2nd St Ste 101, Fort Pierce, FL 34950 2018-02-27
1417463068 Ryan Nippes Counselor 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1639685282 Valencia Worrell Counselor 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1194173153 Angel French Massage Therapist 101 North Us1, Suite 117, Fort Pierce, FL 34950 2016-06-01
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1629329784 Dr. Rhaina A Smeds, Psyd Inc. Psychologist 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 2012-09-28
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366042483 Zamarys Webster Social Worker 316 Palm Breezes Dr, Fort Pierce, FL 34945-1200 2020-10-28
1437781705 Angela Maria Townsley Social Worker 2222 Colonial Rd Ste 201, Fort Pierce, FL 34950-5309 2020-02-05
1821585514 Coralis Ivette Reyes Social Worker 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 2018-04-18
1871859769 Jenna Lynn Stinnett Social Worker 2718 Sunrise Blvd, Fort Pierce, FL 34982-3513 2012-04-05
1841571577 Christina Maria Quintero Social Worker 2920 S 25th St, Fort Pierce, FL 34981-5605 2011-09-08
1003053927 Ida Marlene Pharr Social Worker 7008 Ocala Ave, Fort Pierce, FL 34951-1514 2009-01-14
1912162439 /stalburn Anthony Vansluytman Social Worker 200 Treasure Cay Dr, 2-303, Fort Pierce, FL 34947-5336 2008-07-24
1174796296 John Anthony Tallarido Social Worker 130 S Indian River Dr, Suite 202, Fort Pierce, FL 34950-4343 2008-04-09
1386778454 Margaret Chandrikala Doman X Social Worker 200 S Indian River Dr Ste 309, Fort Pierce, FL 34950-4332 2007-03-14
1326180290 Maria Judith Cabrera Social Worker 1743 N Dovetail Dr, Fort Pierce, FL 34982 2007-02-13
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Competitor

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City FORT PIERCE
Zip Code 34950

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Dataset Information

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.

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