NICOLE RUSSO (NPI# 1841557394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841557394 |
| Entity Type | Individual |
| Full Name | NICOLE RUSSO |
| Credential | CASAC-T |
| Practice Address |
19 Union Sq W 7th Floor New York NY 10003-3304 |
| Practice Telephone | 2126279600 |
| Practice Fax Number | 2126274040 |
| Mailing Telephone | 2126279600 |
| Mailing Fax Number | 2126274040 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411630 | Nicole Russo | Social Worker | 398 W Bagley Rd Ste 13, Berea, OH 44017-1312 | 2020-09-10 |
| 1093152720 | Nicole Elizabeth Russo | Dentist | 231 W Esplanade Ave Ste A, Kenner, LA 70065-2459 | 2013-06-04 |
| 1356572747 | Nicole Russo | Massage Therapist | 38 Montvale Ave Ste 330, Stoneham, MA 02180-2450 | 2009-08-03 |
| 1710921234 | Nicole Z Russo | Speech-Language Pathologist | 577 Blue Cypress Dr, Groveland, FL 34736-8111 | 2006-06-15 |
| 1326528522 | Nicole Lorraine Russo | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-08-16 |
| 1235647314 | Nicole Russo | Counselor | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | 2018-01-11 |
| 1699295469 | Nicole Ann Russo | Occupational Therapist | 6575 Kirkville Rd, East Syracuse, NY 13057-9809 | 2017-06-22 |
| 1962810317 | Nicole Brooke Russo | Pharmacist | 2754 Hylan Blvd, Staten Island, NY 10306-4658 | 2014-07-30 |
| 1013337864 | Nicole Russo | Physical Therapist | 2123 Highway 35, Sea Girt, NJ 08750-1003 | 2014-04-21 |
| 1992133490 | Nicole Russo | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2013-10-18 |
| Street Address |
19 UNION SQ W 7TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699827345 | Realization Center, Inc. | Clinic/Center | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2007-01-16 |
| 1588290423 | Taina M Camacho | Counselor | 19 Union Sq W, New York, NY 10003-3304 | 2020-03-22 |
| 1962966440 | Terrance Orlando Martin Jr. | Counselor | 19 Union Sq W, New York, NY 10003-3304 | 2019-01-29 |
| 1790277762 | Ross Matthew Grunwald I | Counselor | 19 Union Sq W, New York, NY 10003-3304 | 2018-06-05 |
| 1487171567 | Alexis Dominguez | Counselor | 19 Union Sq W, New York, NY 10003-3304 | 2017-08-29 |
| 1336688977 | Nusrat Binte Siraj | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2017-02-15 |
| 1003354317 | Shannon Marie Gunnip | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2017-02-07 |
| 1407301054 | Victoria Stropoli | Counselor | 19 Union Sq W, New York, NY 10003-3304 | 2016-08-23 |
| 1023467446 | Dale Scudder | Counselor | 19 Union Sq W, Floor 7, New York, NY 10003-3304 | 2016-06-07 |
| 1336595883 | Ryan West | Counselor | 19 Union Sq W, Floor 7, New York, NY 10003-3304 | 2016-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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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.