HEATHER JORDAN BODDIE-RUSSO LCSW
NPI 1588090286
Social Worker - Clinical in San Jose, CA

Q: What is Heather Boddie-russo's NPI number?

The NPI number for Heather Boddie-russo is 1588090286. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Q: What is Heather Boddie-russo's specialty?

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

Active since September 25, 2013

2101 ALEXIAN DR, SUITE D, SAN JOSE, CA 95116(408) 272-6513(408) 272-6557 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heather Jordan Boddie-russo Lcsw NPPES

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

HEATHER JORDAN BODDIE-RUSSO LCSW (NPI 1588090286) is an individual clinical provider in San Jose, California, licensed in California (LCS 29058) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1588090286

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameHEATHER JORDAN BODDIE-RUSSOCredential: LCSW

Location Address2101 ALEXIAN DR, SUITE DSan Jose, CA 95116-1901

Mailing Address1671 The Alameda, Ste 306San Jose, CA 95126-2222 · (408) 472-1103 · Fax (408) 320-4252

Phone(408) 272-6513

Fax(408) 272-6557

Sole ProprietorNo

Enumeration DateSeptember 25, 2013

Last NPPES UpdateJuly 30, 2018

✔ NPI 1588090286 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 CA · LCS 29058

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.

2101 ALEXIAN DR, San Jose, CA 95116

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Other Providers at the Same Location NPPES 20

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

MRS. FLOR DE MARIA SANCHEZ LMFT

Marriage & Family Therapist

2101 ALEXIAN DR, SUITE 110
SAN JOSE, CA 95116

Santa Clara County (408) 272-6951

DEPARTMENT OF DRUGS AND ALCOHOL SANTA CLARA CO

Health Maintenance Organization

2101 ALEXIAN DR, SUITE B
SAN JOSE, CA 95116

Santa Clara County (408) 272-6581

MS. PAMELA ORTIZ LVN

Licensed Vocational Nurse

2101 ALEXIAN DR
SAN JOSE, CA 95116

Santa Clara County (408) 272-6510

LAWRENCE JOESPH SILVEIRA LMFT

Marriage & Family Therapist

2101 ALEXIAN DR, SUITE 110
SAN JOSE, CA 95116

Santa Clara County (408) 272-6518

MRS. JOSEPHINE G OCHALE LVN

Licensed Vocational Nurse

2101 ALEXIAN DR
SAN JOSE, CA 95116

Santa Clara County (408) 272-6510

MR. DAN LEE LLOYD MFT

Marriage & Family Therapist

2101 ALEXIAN DR, SUITE 110
SAN JOSE, CA 95116

Santa Clara County (408) 272-6561

MRS. ELAINE ANTOINETTE SAULTER

Counselor (Addiction (Substance Use Disorder))

2101 ALEXIAN DR
SAN JOSE, CA 95116

Santa Clara County (408) 272-6510

COUNTY OF SANTA CLARA

Social Worker (Clinical)

2101 ALEXIAN DR
SAN JOSE, CA 95116

Santa Clara County (408) 272-6523

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 Heather Boddie-russo's NPI number?

The NPI number for Heather Boddie-russo is 1588090286. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Heather Boddie-russo located?

Heather Boddie-russo practices at 2101 Alexian Dr Suite D, San Jose, CA 95116. The listed phone number is (408) 272-6513.

What is Heather Boddie-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 Heather Boddie-russo was last updated on July 30, 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.