MR. PHILIP LOUIS RUSSO JR. (NPI# 1437485711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437485711 |
| Entity Type | Individual |
| Full Name | MR. PHILIP LOUIS RUSSO JR. |
| Credential | LCSW |
| Practice Address |
392 Seguine Ave Staten Island NY 10309-3906 |
| Mailing Address |
61 Spring St Staten Island NY 10304-3213 |
| Practice Telephone | 7182262754 |
| Mailing Telephone | 7189793871 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
070041 | NY | Behavioral Health & Social Service Providers |
| Street Address |
392 SEGUINE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467466870 | Regina Atanasio Digiovanna | Internal Medicine | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2006-07-28 |
| 1851924153 | Ann Marie Parisi | Social Worker | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2020-02-15 |
| 1770123127 | Ciara Sullivan | Counselor | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2020-01-14 |
| 1730729898 | Marissa Raskin | Counselor | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2020-01-07 |
| 1437794997 | Nicole Suzanne Mccarthy | Peer Specialist | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-11-08 |
| 1245891365 | Edward Cain | Peer Specialist | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-06-28 |
| 1699337725 | Ines Vucetic | Social Worker | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-06-28 |
| 1396207692 | Arthur Steven Cardinale | Social Worker | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-04-04 |
| 1861950628 | Adam Zaher | Counselor | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-03-11 |
| 1588167506 | Rita G Caputo | Counselor | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2018-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| 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 |
|---|---|---|---|---|
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1770197543 | Robin E Fenley | Social Worker | 223 Mountainview Ave, Staten Island, NY 10314-5315 | 2020-08-31 |
| 1598378341 | Lori Beth Howe | Social Worker | 69 Maine Ave, Staten Island, NY 10314-2316 | 2020-08-30 |
| 1518581487 | Stephen Krysztoforski | Social Worker | 51 Alverson Loop, Staten Island, NY 10309-1748 | 2020-06-05 |
| 1720601743 | Mary L Williams | Social Worker | 693 Pelton Ave, Staten Island, NY 10310-3139 | 2020-05-26 |
| 1316585979 | Cassandra Lauletti | Social Worker | 88 New Dorp Plz S Ste 203, Staten Island, NY 10306-2902 | 2019-12-13 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1326601709 | Bruce Monteleon | Social Worker | 173 Maine Avenue, Staten Island, NY 10314-1031 | 2019-04-21 |
| 1407331218 | Cassedy Jene Rymer | Social Worker | 105 Hamilton Ave Rm 116, Staten Island, NY 10301-1610 | 2018-09-27 |
| 1720561996 | Yazmin Iris Perez | Social Worker | 358 Saint Marks Pl Fl 4, Staten Island, NY 10301-2417 | 2018-09-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
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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.