Joan Ellen Russo is a Clinical in Warrenton, Virginia. Joan Ellen Russo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Ellen Russo is 1508941287. The last update date is 2008-06-18.
Joan Ellen Russo's current location address is 54 E Lee St, Warrenton, Virginia. You can contact this provider via phone number 5403470613 and fax number 5403470768. The mailing address for Joan Ellen Russo is 54 E Lee St, Warrenton, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joan Ellen Russo |
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Address | 54 E Lee St, Warrenton, Virginia |
Phone Number | 5403470613 |
Fax Number | 5403470768 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1508941287 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
Address | 54 E Lee St |
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City | Warrenton |
State | Virginia (VA) |
Post Code | 20186 |
Phone Number | 5403470613 |
Fax Number | 5403470768 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 904006197 |
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 |
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188908 | ANTHEM | ||
10244897 | VA | -- | |
7260017 | CARE FIRST | ||
827983000 | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joan Ellen Russo by the Centers for Medicare & Medicaid Services?
The Joan Ellen Russo has been issued the NPI (National Provider Identifier) 1508941287 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Joan Ellen Russo is geographically located?
The Joan Ellen Russo is physically situated at the following location: 54 E Lee St, Warrenton, VA, 20186.
What is Joan Ellen Russo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joan Ellen Russo's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Joan Ellen Russo receive its 1508941287 assignment from the Centers for Medicare & Medicaid Services?
The Joan Ellen Russo was assigned its 1508941287 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Joan Ellen Russo's details last updated?
The information pertaining to the Joan Ellen Russo, including its address, specialty, and other details, was most recently updated on 2008-06-18.