KATHERINE RUSSO (NPI# 1841733029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841733029 |
| Entity Type | Individual |
| Full Name | KATHERINE RUSSO |
| Credential | ACSW |
| Practice Address |
9570 Center Ave Ste 100 Rancho Cucamonga CA 91730-5814 |
| Practice Telephone | 9099804755 |
| Mailing Telephone | 9099804755 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW77827 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ASW77827 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 859 Willard St, Quincy, MA 021697482 | 6177452703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578820254 | Katherine Teresa Russo | Social Worker | 1060 Waldorf Ter, Lakewood, NJ 08701-5546 | 2012-04-18 |
| 1558686469 | Katherine Elizabeth Russo | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2010-04-02 |
| 1578693677 | Katherine Russo | Occupational Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2007-03-07 |
| Street Address |
9570 CENTER AVE STE 100 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568757342 | Tierra Monique Patterson | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2011-06-09 |
| 1154939734 | Shamika Shavonne Allen | Counselor | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2020-07-20 |
| 1982241642 | Phyllis Theresa Mock | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2019-12-02 |
| 1669944948 | Leslie Ann Guy | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5814 | 2018-12-26 |
| 1871069013 | Cristina Michelle Gonzalez | Counselor | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5814 | 2018-10-15 |
| 1659818334 | Lynette Lea Gonzalez | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2017-01-19 |
| 1881079481 | Crystal Horne | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2015-07-23 |
| 1396170221 | Norma Y. Guerrero | Marriage & Family Therapist | 9570 Center Ave Ste 100, Rancho Cucamonga, CA 91730-5842 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710507306 | Aruna Prabha Boyineni | Counselor | 12380 Macon Dr, Rancho Cucamonga, CA 91739-2661 | 2020-04-23 |
| 1659900868 | Terence Westbrook | Counselor | 7365 Carnelian St Ste 104, Rancho Cucamonga, CA 91730-1156 | 2020-04-08 |
| 1619473568 | Alma Sanchez | Counselor | 10572 Acacia St Ste C5, Rancho Cucamonga, CA 91730-5447 | 2018-03-31 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1972034932 | Lindsay Baston | Counselor | 11832 Larino Dr, Rancho Cucamonga, CA 91701-8716 | 2017-03-22 |
| 1174068423 | Megan Castillo | Counselor | 8410 Hermosa Ave Apt H, Rancho Cucamonga, CA 91730-3717 | 2016-12-22 |
| 1467825521 | Giselle Zayer | Counselor | 12405 Royal Oaks Dr, Rancho Cucamonga, CA 91739-8824 | 2015-11-10 |
| 1285031799 | Raied Esa Salem | Counselor | 7828 Haven Ave # 207, Rancho Cucamonga, CA 91730-3049 | 2014-11-26 |
| 1164845335 | Brittney A Power | Counselor | 8316 Red Oak St, Rancho Cucamonga, CA 91730-3892 | 2014-01-23 |
| 1689095499 | Lawrence Conrad Vasquez | Counselor | 11371 Pyramid Peak Ct, Rancho Cucamonga, CA 91737-6562 | 2013-12-20 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on KATHERINE RUSSO.
| 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.