Melissa Ann Russiano in Erie - Clinical

Melissa Ann Russiano - NPI 1174624217

Melissa Ann Russiano is a Clinical in Erie, Pennsylvania. Melissa Ann Russiano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Ann Russiano is 1174624217. The last update date is 2017-12-06.

Melissa Ann Russiano's current location address is 3800 West 12th St, Erie, Pennsylvania. You can contact this provider via phone number 8149238410 and fax number 8143156044. The mailing address for Melissa Ann Russiano is 3800 West 12th St, Erie, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Ann Russiano
Address 3800 West 12th St, Erie, Pennsylvania
Phone Number 8149238410
Fax Number 8143156044
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1174624217
Provider Enumeration Date 2006-09-25
Last Updated Date 2017-12-06

Provider Mailing Address Detail

Address 3800 West 12th St
City Erie
State Pennsylvania (PA)
Post Code 16505
Phone Number 8149238410
Fax Number 8143156044

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW014975
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
571168674 NWBG

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FAQs about Melissa Ann Russiano

What is the unique identifier code issued to Melissa Ann Russiano by the Centers for Medicare & Medicaid Services?

The Melissa Ann Russiano has been assigned the NPI (National Provider Identifier) 1174624217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Melissa Ann Russiano is physically located?

The Melissa Ann Russiano is situated at the following address: 3800 West 12Th St, Erie, PA 16505.

What is Melissa Ann Russiano's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Melissa Ann Russiano's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When did Melissa Ann Russiano receive its 1174624217 assignment?

The Melissa Ann Russiano was assigned its 1174624217 on 2006-09-25, which is the date when this unique identifier was issued to the organization.

When was the Melissa Ann Russiano's information last updated?

The Melissa Ann Russiano's information was last updated on 2017-12-06.

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