1. Home
  2. Directory
  3. New York
  4. Port Jefferson Station
  5. Social Worker
  6. NPI Profile

SHANNON RUSSO
NPI 1366388670
Social Worker in Port Jefferson Station, NY

Active since April 28, 2026
1227 MAIN ST, PORT JEFFERSON STATION, NY 11777(631) 312-1225 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shannon Russo NPPES

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

SHANNON RUSSO (NPI 1366388670) is an individual social worker in Port Jefferson Station, New York, licensed in New York (120865) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1366388670
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON RUSSO
Location Address1227 MAIN STPort Jefferson Station, NY 11777-2227
Mailing Address3 Hedda RdPort Jefferson Station, NY 11776-2818 · (631) 316-4158
Phone(631) 312-1225
Sole ProprietorYes
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1366388670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 120865
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1227 MAIN ST, Port Jefferson Station, NY 11777
Open in Google Maps ↗

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.

CHRISTINE ANN PODBIELAK LMSW
Social Worker
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 802-2566
JULIANNA GREENE
Social Worker
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 766-1599
STACY DANON LMSW
Social Worker
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-9808
MR. H. CHRISTIE HARRINGTON LAC, A.P.
Acupuncturist
1227 MAIN ST, SUITE 104
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-1899
DANIEL ZITO LMSW
Social Worker (School)
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 802-2566
ALEXANDRA CELLA LMSW
Social Worker
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 371-3825
LINDA CHRISTINE VLAY APN.
Nurse Practitioner (Psychiatric/Mental Health)
1227 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-1444

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 Shannon Russo's NPI number?

The NPI number for Shannon Russo is 1366388670. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Shannon Russo located?

Shannon Russo practices at 1227 Main St, Port Jefferson Station, NY 11777. The listed phone number is (631) 312-1225.

What is Shannon Russo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shannon Russo was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.