MRS. LISA RUSSO RUSSO LCSW
NPI 1184599284
Social Worker - Clinical in Nantucket, MA

Active since October 08, 2025
4 CORBY WAY, NANTUCKET, MA 02554(201) 906-8115 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Russo Russo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA RUSSO RUSSO LCSW (NPI 1184599284) is an individual clinical provider in Nantucket, Massachusetts, licensed in Massachusetts (231237) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1184599284
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA RUSSO RUSSOCredential: LCSW
Location Address4 CORBY WAYNantucket, MA 02554-5313
Mailing Address4 Corby WayNantucket, MA 02554-5313 · (201) 906-8115
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1184599284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 231237
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4 CORBY WAY, Nantucket, MA 02554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Russo's NPI number?

The NPI number for Lisa Russo is 1184599284. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Lisa Russo located?

Lisa Russo practices at 4 Corby Way, Nantucket, MA 02554. The listed phone number is (201) 906-8115.

What is Lisa Russo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lisa Russo was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.