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MR. CHRISTOPHER J RUSSO LICSW
NPI 1235412107
Social Worker - Clinical in Providence, RI

Active since September 27, 2011
49 PAVILION AVE, SUITE 105, PROVIDENCE, RI 02905(401) 490-8900(401) 490-2619 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Christopher J Russo Licsw NPPES

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

MR. CHRISTOPHER J RUSSO LICSW (NPI 1235412107) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW01400) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1235412107
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHRISTOPHER J RUSSOCredential: LICSW
Location Address49 PAVILION AVE, SUITE 105Providence, RI 02905-1534
Mailing Address49 Pavilion Ave, Suite 105Providence, RI 02905-1534 · (401) 490-8900 · Fax (401) 490-2619
Phone(401) 490-8900
Fax(401) 490-2619
Sole ProprietorYes
Enumeration DateSeptember 27, 2011
Last NPPES UpdateOctober 10, 2013
✔ NPI 1235412107 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 RI · CSW01400
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.
49 PAVILION AVE, Providence, RI 02905
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY BARAF LICSW
Social Worker (Clinical)
49 PAVILION AVE, SUITE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8900
DR. CARYN WACHS MANNING PSY.D.
Psychologist (Clinical)
49 PAVILION AVE, SUITE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8972
KRISTEN O'CONNELL LMHC
Counselor (Mental Health)
49 PAVILION AVE, SUITE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8930
NORMAN FORTIN LICSW
Social Worker
49 PAVILION AVE, STE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8963
ELIZABETH CANTOR PHD.
Psychologist
49 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 245-7881
PSYCHOLOGICAL CENTERS
Community/Behavioral Health
49 PAVILION AVE, SUITE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8900
DR. JOSEPH CHAFFIN BERRYHILL PH.D.
Psychologist
49 PAVILION AVE, SUITE 105
PROVIDENCE, RI 02905
Providence County (401) 490-8900

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 Christopher Russo's NPI number?

The NPI number for Christopher Russo is 1235412107. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Christopher Russo located?

Christopher Russo practices at 49 Pavilion Ave Suite 105, Providence, RI 02905. The listed phone number is (401) 490-8900.

What is Christopher 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 Christopher Russo was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.