John Russotto is a Clinical in Saint Petersburg, Florida. John Russotto practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Russotto is 1619066933. The last update date is 2021-08-24.
John Russotto's current location address is 5510 La Puerta Del Sol Blvd S Apt 234, Saint Petersburg, Florida. You can contact this provider via phone number 7277105487. The mailing address for John Russotto is 5510 La Puerta Del Sol Blvd S Apt 234, Saint Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russotto |
|---|---|
| Address | 5510 La Puerta Del Sol Blvd S Apt 234, Saint Petersburg, Florida |
| Phone Number | 7277105487 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619066933 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2021-08-24 |
Provider Mailing Address Detail
| Address | 5510 La Puerta Del Sol Blvd S Apt 234 |
|---|---|
| City | Saint Petersburg |
| State | Florida (FL) |
| Post Code | 337151426 |
| Phone Number | 7277105487 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17933 |
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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, certif |
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What is the unique 10-digit identification code assigned to John Russotto by the Centers for Medicare & Medicaid Services?
The John Russotto has been issued the NPI (National Provider Identifier) 1619066933, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Russotto?
The John Russotto is physically situated at 5510 La Puerta Del Sol Blvd S Apt 234, in the city of Saint Petersburg, state of FL, with the postal code 337151426.
What is John Russotto's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Russotto is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the John Russotto receive its 1619066933?
The John Russotto was issued its 1619066933 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
When was the John Russotto's information last updated?
The John Russotto's information was last updated on 2021-08-24.