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MR. FRED CIPRIANO RUSSO LCSW
NPI 1821144288
Social Worker - Clinical in East Northport, NY

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
1023 PULASKI ROAD, EAST NORTHPORT, NY 11731(631) 261-4296(631) 261-4296 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Fred Cipriano Russo Lcsw NPPES

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

MR. FRED CIPRIANO RUSSO LCSW (NPI 1821144288) is an individual clinical provider in East Northport, New York, licensed in New York (R023424) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1821144288
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. FRED CIPRIANO RUSSOCredential: LCSW
Location Address1023 PULASKI ROADEast Northport, NY 11731
Mailing Address1023 Pulaski RoadEast Northport, NY 11731 · (631) 261-4296 · Fax (631) 261-4296
Phone(631) 261-4296
Fax(631) 261-4296
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821144288 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 · R023424
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.
1023 PULASKI ROAD, East Northport, NY 11731
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Other Identifiers 4

Medicaid01968423NY
Other7400383NY · Ghi
Medicare ID-Type UnspecifiedN2H501NY
Other118060NY · Value Options

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Fred Cipriano Russo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062698772
PECOS Enrollment IDI20110513000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
337 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fred Russo's NPI number?

The NPI number for Fred Russo is 1821144288. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Fred Russo located?

Fred Russo practices at 1023 Pulaski Road, East Northport, NY 11731. The listed phone number is (631) 261-4296.

What is Fred Russo's specialty?

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

Is Fred Russo enrolled in Medicare?

Yes. Fred Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fred Russo accept?

Health plans from Providence Health Plan list Fred Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.