MR. RICHARD MICHAEL PRUSSIN LCSW
NPI 1972605475
Social Worker - Clinical in Baldwinsville, NY

Active since September 04, 2006
12 W GENESEE ST, BALDWINSVILLE, NY 13027(315) 638-0988(315) 251-2603 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Richard Michael Prussin Lcsw NPPES

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

MR. RICHARD MICHAEL PRUSSIN LCSW (NPI 1972605475) is an individual clinical provider in Baldwinsville, New York, licensed in New York (PR014595-1) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1972605475
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RICHARD MICHAEL PRUSSINCredential: LCSW
Location Address12 W GENESEE STBaldwinsville, NY 13027-1105
Mailing Address12 W Genesee StBaldwinsville, NY 13027-1105 · (315) 638-0988 · Fax (315) 251-2603
Fax(315) 251-2603
Sole ProprietorYes
Enumeration DateSeptember 4, 2006
Last NPPES UpdateNovember 1, 2013
NPI 1972605475 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 · PR014595-1
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.

12 W GENESEE ST, Baldwinsville, NY 13027

Other Identifiers 5

Other146679NY · Valueoptions
Medicare PINRA7966NY
Other392979NY · Mvp
Other11239539NY · Caqh
Medicare ID-Type Unspecified54652BNY · Medicare Part B

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
12 W GENESEE ST
BALDWINSVILLE, NY 13027
Clinic/Center (Mental Health (Including Community Mental Health Center))
12 W GENESEE ST
BALDWINSVILLE, NY 13027
Social Worker (Clinical)
12 W GENESEE ST
BALDWINSVILLE, NY 13027
Marriage & Family Therapist
12 W GENESEE ST
BALDWINSVILLE, NY 13027
Counselor (Mental Health)
12 W GENESEE ST
BALDWINSVILLE, NY 13027

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 Richard Prussin's NPI number?

The NPI number for Richard Prussin is 1972605475. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Richard Prussin located?

Richard Prussin practices at 12 W Genesee St, Baldwinsville, NY 13027. The listed phone number is (315) 638-0988.

What is Richard Prussin'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 Richard Prussin was last updated on November 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.