# JOHN MICHAEL RUSSO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326846825
- **Authorized official:** JOHN MICHAEL RUSSO LCSW (OWNER)
- **Authorized official phone:** (412) 515-5746

## Contact information

- **Practice address:** 6315 FORBES AVE STE 125C, PITTSBURGH, PA 15217-1745
- **Practice address phone:** (412) 515-5746
- **Mailing address:** 111 N PARK ST, MONROEVILLE, PA 15146-4013
- **Mailing address phone:** (412) 515-5746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025