MS. CHRISTINA RUSSELL LICSW NPI 1558615534

NPI Information

NPI: 1558615534
Provider Name: MS. CHRISTINA RUSSELL, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
77 FINLAY RD
ORLEANS, MA
ZIP 02653
Phone: (781) 589-0143
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MS. Christina Russell, LICSW is a mental health counselor in Orleans, MA with 19 years of experience. MS. Christina Russell, LICSW NPI is 1558615534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

77 FINLAY RD
ORLEANS, MA
ZIP 02653-320
Phone: (781) 589-0143

The NPI 1558615534 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	117199	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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