ELIZABETH BRUCE RUSSELL
NPI 1235647082
Social Worker - Clinical in Penfield, NY

Active since January 15, 2018
21 WILLOW POND WAY STE 204, PENFIELD, NY 14526(585) 678-5133 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Bruce Russell NPPES

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

ELIZABETH BRUCE RUSSELL (NPI 1235647082) is an individual clinical provider in Penfield, New York, licensed in New York (077529) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1235647082
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH BRUCE RUSSELL
Location Address21 WILLOW POND WAY STE 204Penfield, NY 14526-2687
Mailing Address21 Willow Pond Way Ste 204Penfield, NY 14526-2687 · (585) 678-5133
Sole ProprietorYes
Enumeration DateJanuary 15, 2018
NPI 1235647082 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 NY · 077529
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.
21 WILLOW POND WAY STE 204, Penfield, NY 14526

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
21 WILLOW POND WAY STE 204
PENFIELD, NY 14526

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 Elizabeth Russell's NPI number?

The NPI number for Elizabeth Russell is 1235647082. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Elizabeth Russell located?

Elizabeth Russell practices at 21 Willow Pond Way Ste 204, Penfield, NY 14526. The listed phone number is (585) 678-5133.

What is Elizabeth Russell'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 Elizabeth Russell was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.