NICOLE RUSSO (NPI# 1902411630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902411630 |
| Entity Type | Individual |
| Full Name | NICOLE RUSSO |
| Practice Address |
398 W Bagley Rd Ste 13 Berea OH 44017-1312 |
| Mailing Address |
7519 Mentor Ave Ste 114 Mentor OH 44060-5410 |
| Practice Telephone | 4407016170 |
| Practice Fax Number | 4405278043 |
| Mailing Telephone | 4407016170 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1841557394 | Nicole Russo | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2012-04-20 |
| Street Address |
398 W BAGLEY RD STE 13 |
| City | BEREA |
| State | OH |
| Zip Code | 44017-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164960621 | Donna Sue Marshall | Social Worker | 820 Muddy Creek Rd S, Berea, KY 40403-9397 | 2017-02-05 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1659413268 | Angela Spencer Merritt | Social Worker | 67 Crown Vetch Lane, Berea, KY 40403 | 2007-02-12 |
| 1902918196 | Wendy M Kacmarcik | Social Worker | 434 Eastland Rd, Berea, OH 44017-1217 | 2006-08-31 |
| 1184235822 | Lauren Devis | Social Worker | 398 W Bagley Rd Ste 216, Berea, OH 44017-1312 | 2020-08-15 |
| 1114553773 | Elaine Lewis | Social Worker | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-03-16 |
| 1093340598 | Patricia O'shea | Social Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-03-05 |
| 1497230452 | Kimberly Vargo Bonsky | Social Worker | 434 Eastland Rd, Berea, OH 44017-1217 | 2018-09-26 |
| 1912484692 | Ollene Grizzle | Social Worker | 434 Eastland Rd, Berea, OH 44017-1217 | 2018-07-25 |
| 1669965844 | Rosiemarie S Conrad | Social Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2018-06-12 |
| Find all providers in BEREA | ||||
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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.