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KRISTIN IRENE RUSSO LICSW
NPI 1750737573
Social Worker - Clinical in Taunton, MA

Active since May 11, 2016
9 TAUNTON GRN UNIT 5, TAUNTON, MA 02780(716) 720-7051 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2022, Jul 28, 2017, May 11, 2016 (3 updates tracked since 2016).

About Kristin Irene Russo Licsw NPPES

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

KRISTIN IRENE RUSSO LICSW (NPI 1750737573) is an individual clinical provider in Taunton, Massachusetts, licensed in Massachusetts (123924) and active in the NPI registry since May 2016. She maintains a secondary practice location in Boulder.

NPPES Registry Identity

NPI1750737573
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN IRENE RUSSOCredential: LICSW
Location Address9 TAUNTON GRN UNIT 5Taunton, MA 02780-3232
Mailing Address9 Taunton Grn Unit 5Taunton, MA 02780-3232 · (716) 720-7051
Phone(716) 720-7051
Sole ProprietorNo
Enumeration DateMay 11, 2016
Last NPPES UpdateOctober 23, 20223 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
✔ NPI 1750737573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 123924
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 100546 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9 TAUNTON GRN UNIT 5, Taunton, MA 02780
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Secondary Practice Location 1

Location 11333 Iris AveBoulder, CO 80304-2226 · Phone (303) 443-8500

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 Kristin Russo's NPI number?

The NPI number for Kristin Russo is 1750737573. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Kristin Russo located?

Kristin Russo practices at 9 Taunton Grn Unit 5, Taunton, MA 02780. The listed phone number is (716) 720-7051.

What is Kristin 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 Kristin Russo was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.